410 Initial
STATEMENT OF ORGANIZATION
Statement of Organization
Recipient Committee
Dale Stamp
~
re~1E
o Termination - See Part 5
Lisll.D. number:
Type or print in ink
o Amendment
List 1.0. number:
~
Not yet qualified
Statement Type
o
2005
5
AUG
#
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Date of Termination
#
~~-
Date qualified as committee
(II applicable)
or
~~~
Date qualified as committee
2. Treasurer an
NAME Of TREA~
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Committee Information
NAME OF COMMITTEE
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AREA CODElPHONE
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NAME O~ ASSISTANT TREASURER, IF AN'Y
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ADDRESS
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STREET
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ZIP CODE AREA CODE/PHONE
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STATE
CITY
AREA CODE/PHONE
ZIP CODe
STATE
STREET ADDRESS
CO+- "14) 0
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50 -9 !'f-J\ 3/,
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CITY
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IF APPL,ICABlE
NAME AND PQSITIO
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COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
OPTIONAL:
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COUNTY OF DOMICilE
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MAIL.lNG
AREA COOEIPHONE
lIP CODE
STATE
CITY
certify under penalty of
Attach additional information on appropriately labe/ed continuation sheets.
3. Verification
I have used aU reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete.
perjury under the laws of the State of California that the foregoing is true and correct.
SIGNR\JRE Of TREASURER OR ASSISTANT TREASURER
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Executed on
SIGNRURE OF CONTROLLING OFFICEHOLDER, CANOIOR"E. OR STATE MEASURE PROPONeNT
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DATE
Executed on
STATE MEASURE PROPONENT
FPPC Form 410 (JanIDJ)
FPPC Toll-Fr.. H.lpllne: 866JASK·FPPC
SIGNAJURE Of CONTROLLING OFFICEHOLDER. CANOI[),IfE, OR
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OATE
DATE
Executed on
Executed on
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REV¡;RSE
COMMITTEE N^C () ¡V').vI ( ~ t- D_ NUMBER
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- - -
4. Type of Committee Complelelheapplicablesecbons
Controlled Committee
· List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held. anlj
district number, if any, and the year of the election.
· List the political party with which each officeholder or candidate is affiliated or check "non-partisan.~
· If this committee acts jointly with another controlled committee, list the: name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDAfE/OFFICEHOlDERISTATE MEASURE PROPONENT ¡INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR Of ELECTION PARTY
~,,\þ( Cv Co c.", Lil ~ 2ß\S c¡¡...«on.Partisan
0
o Non·Partlsan
· List the financial institution where the campaign bank acr:o~,;rcated (controlled ~cand¡date election" committees only)
(... ..( C .1- VA\Ó" -
NAME OF FI ANCIAl INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
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-
ADDRESS CITY STATE ZIP CODe
f--lo. A \1-- CA <143ú~
marily Formed Committee Primarily formed to support or oppose specifIC candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FUll TITLE (INCLUDE BAllOT NO. OR lETTER) CANDIDATE(S) OfFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
- (INCLUDE OISTRICT NO.. CITY.OR COUNTY, AS APPLICABLE)
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SUPPORT Opl
FPPC Form410 (.JanlO3:)
FPPC Toll-Free Helpline: 8661ASt<-FPPC