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Charles Williams FPPC Form 410
1. Statement of Organization
Recipient Committee
Date ~tag1p
rll t.u CALIFORNIA 41 0~ FORM
Statement Type ~Initial 0 Amendment
List I.D. number:
0 Termination- See Part 5
List 1.0. number:
fH1f ICf. 0F TH.E CIT Y CL£
Of. KLANO For Official Use Only
Not yet qualified 0 or
14 HAY 30 PH 1: 30
#------- # _______
/ 5 , 2~14 1-1
---1, ·--- --- --- --JI /--
Date qualified as committee Date qualified as committee
(If oppllcoblt )
Date of Termination
'-· Committe" Information · ,__ · · • ·· t ~ ::a__· _ 2. fieuurirand Otharl•nncljiJ
NAME OF COMMITTEE NAME OF TREASURER
ChArles g());I hq ll') 5 for f)(~jor 0 r 0& kl qt")J Zalt./ 0e IJ4 13'. 5An eh~ 2
STREET A0
CITY STATE
Or-lkl.qnJ CtJ
ZIP CODE
qt.;b08
AREA CODE/ PHONE CITY
510 ··
AREA CODE/PHONE
s 10 -
MAILING ADDRESS (IF DIFFERENT)
o X4/Jder
FAX I E-MAIL ADDRESS
~ AoL com
CITY STATE ZIP CODE
pi Ifs· burq e;; Cj(/'f'(, S'
AREACODE/PHONE
qz>" -
JURISDICTION WHERE COMMITTEE ISACTIVE
f.qmecJq I Ai.t1rneci4
NAME OF PRINCIPAL OFFICER(S) OJ'
Jerof??e /1l. ./lew lo/J
Attach additional information on appropriately labeled continuation sheets.
STREET ADDRESS (NO P.O. BOX)
CITY 0 /J ;,/t;ad c4 '/¥602
ZIP CODE AREA CODE/PHONE
5/0-
I have used all reasonable diligence ~~is--staten'fen~ tk:7:~ my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of
Executed on
Executed on
Executed on
Executed on
s ...o!o-Zo~tt<::>" EASURER _/
~,~~,2P/YBy ______ -------
(}eldfl
ciiJ/i
:Je rol"? C
5-.3tJ-2()/ vBy --~ ;;m;r----DATE
s ..~~-201 'I By ....
Chl;rles
FPPC Form 410 (Dec/2012)
FPPC Advice: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
2. Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
CALIFORNIA 41 0
FORM
COMMITTEE NAME c);,4f /e5
R. U/i/J;:.t;m5 for or of' ll /Jc/ Zo·t·
I.D. NUMBER
• All committees must list the financial Institution where the campalan bank account Is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/ PHONE BANK ACCOUNT NUMBER
hrsl /3fJIJ /f yoo- 7?:,0 - 2 '26 5'
ADDRESS
I J 1.JO 5.411 fJII/;.;o
CITY STATE
~ve; 5/e /l S41? P;:;blo
ZIP CODE
ell C?vro0
4. TYPe of Committee conjliti_ffii_ippUeable stctton&.
Controlled (cJ/Jlllllltcc
• 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, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
C);/lr/eS" R UJ,//, .tJmS
- - - ~ - - - - -
ELECTIVE OFFICE SOUGHT OR HELD
(INClUDE DISTRICT NUMBER IF APPLICABLE)
/IJ/Ii.j Or CJ ( 0/J k ft1r1J
-
--- - -- -- - ---~
YEAR OF ELECTION PARTY
2cJ!t./
0 Nonpartisan
0 Nonpartisan
Pnmanfy Formed (omrwttcc 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 DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
------~~-su~r=o=Rf~~ De:]
ISEllOL]
FPPC Form 410 (Dec/2012)
FPPC Advice: advice@lfppc.ca.aov (866/275-3772)
www.fppc.ca.gov
3. Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
. 4/~ 1/,!;ms For (fl;;jo~'" or Oa l -l4acl 2 o I tf
CALIFORNIA 41 0
FORM
..1.0. NUMBER
Gt•ncrol Purpo"' Comnuttcc Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
0 CITY Committee 0 COUNTY Committee 0 STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Spon,orcd (ommrttct• list additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE
)moll Cont11Lwtor Cormmttcc
0 - 1 - 1 - -
Date qualified
s:tarmtnatlon ly llplnatile verlflclllcln,tMtreiUW, .ust.nttreuurerlf'td/orcandidate,ofllteholdtlr, orproponent certifyttllt all ofthe followtna tonc11t1ons have been 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 ability 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 surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519.
Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
-w.fppc.ca.gov