410 Initial
StaterJ,Jnt of Organization 1~I')"'f~ ')
STÆ"EMENT OF OR.... ..~IZATION
Recipient Committee Type or print in ink REC
¡nthec
~'Initial (
Statement Type o Amendment o Termination - See Part 5 f\.UG ~ 9 2005
Not yet qualified M or List 1.0. number; List I.D. number:
# # BR CE McPHERSON SEP 1 4 200
l:::J
~~- ~ I ~----1_ ecretary of State
Date qualified as committee Date qualified as committee Date of TennínaUon
(lf8JlPlicable) LERK
1. Committee Information 2. Treasurer and Other Principal Officers
NAME OF COMMITTEE NAME c.¡;EASURER tn'le.l-~a\nooey
.~~~~-§r Omn ~~onvy STREET ADDt9~ \\ Yì
lO'i40 M\(o.mooic.. 1<d
CITY STATE ZIP CODE AREA CODE/PHONe
\0 q,-\O M\(C\ mOrL1e., R NAME OF(¥.£$rç~S~r~ IF ANV CÆ QSO\4 40B-725-17b7
CITY STATE ZIP COOE AREA CODE/PHONE
MASG~D~S~~~£I CA <::\50\4 4ffi-12. 5 -nft' 7
STReET ADDRESS
CITY STATE ZIP CODe AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS 4COlH1C\ \
aho\'ì( Oi POSITION OF OTHER PRINCIm.L OFFICER(S), IF APPLICABLE
COUNTY OF DOMICILE COUNTY ERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE MAILING ADDRESS
SClnto. C\o.ra
cm STATE ZIP CODE AREA CODE/PHONE
Attach additional information on 8pproprietely labeled conlínuation sheets.
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penaJty of
pe~ury under the laws of the State of California that the foregoing is true and correct.
Execuled on I\u.I S l' DAr' Z 00 5 ß{
Executed on ;t- ~ 1IXJ_ 5 B¡
DATE OFFICEHOLDER. CANOIORE. OR STATE MEASURE PROPONENT
Executed on DATE ß{
SIGNNURE OF CONTROLliNG OFFICEHOlDER, CANDlORE, OR STATE MEASURE PROPONENT
Executed on ÕÃTË ß{
ii' Ii rATE MEASUHE PROPUNENT
FPPC Form 410 (Jan/03)
FPPC Toll-Free Helpline: 8681ASK·FPPC
)
)
Statement of Organization
Recipient Committee
.0, NUMBER
-\Dr ornnJJ\ohon0
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
C\ll'z.e
G
the applicable sections.
Complete
Committee
4. Type of
controlled, also list the elective office sought or held. and
If candidate or officeholder
List the name of each controlling officeholder. candidate, or state measure proponent
district number. if any. and the year of the election.
Llstthe political party with which each officeholder or candidate
·
is affiliated or check "non-partisan.
·
controlled committee,
listthe name and identification number of the other
If this committee acts jointly with another controlled committee,
·
PAR TV
Non-Partisan
o Non-Partisan
YEAR OF ELECTION
'loa 5
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
Counc
c
NAME OF CANDIDJlfElOFFICEHOlDERlSTATE MEASURE PROPONENT
Md.lnone
committees only)
BANK ACCOUNT NUMBER
located (controlled "candidate election"
·gQIo -
AREA COOEfPHONE
~i Dr)
CITY
ßonk f\ Tr
institution where the campaign bank account is
~ Q±ì'ot7
OF FINANCIAL INSTITUTION
er-hno
Listthe financial
NAME
-º
ADDRESS
·
\'22542-
ZIP CODE
050
STATE
CA
'2.D1.~O stevens CYttk 'ß\vd
did
Primarily formed 10 support or oppose specifIC ca
NAME OR
1 ---- ----, .."......".......
¡-I-
SUPPORT oppOSE ~
FPPC Form 410 (Jan/03)
FPPC Toll-Free Helpline: 8661ASK-FPPC
CANOIDATE(S)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME -\DY .D.NUMBER
(\11 z.e06 On In f'v\
4. Type of Committee (Continued)
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
o CITY Committee o COUNTYCommittee o STATECommittee
PROVIDE BRIEF oeSCRIPTION OF ACTIVITY
Sponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE
Small Contributor Committee o ~~_ Check box and provide the date this committee qualified as a small contributor committee. If the commjttee qualified as a
Date quaUfied small contributor committee on January 1, 2001, enter 1/1/01.
5. Term ¡nation Requi rements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all ofthe foUowing conditions have bean met
This committee has ceased to receive contributions and make expenditures;
This committee does not anticipate receiving contributions or making expenditures in the future;
This committee has eliminated or has no intention or abiiity to discharge all debts. loans received, and other obligations;
This committee has no surplus funds; and
This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions,
There are restrictions on the disposition of surpius campaign funds held by elected officers who are leaving office and by defeated candidates, Refer to
Government Gode Section 89519,
FPPC Form 410 (Jan/03)
FPPC Toll-Free Helpline: 8661ASK·FPPC