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City of r· ·--,-:·.

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Statement of Organization J, . ! c " /(I : Date Stamp
CALIFORNIA 41 Q
Recipient Commi~ee FORM
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Statement Type [S(jnitial 0 Amendment D •ermma11on - S"tte ·P.i'I'U5 C::ft'»"f\ For Official Use Only

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0 Date qualified as committee

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Date qualified as committee Date of termination
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1. cqmtiii~e~;l~i~r~~~~i~ 1.0. Number


(if applicable) ·2: ·'(t.~~~i~l[r;f~~~~~~~~M'IfAi:tlai~~'i)Cifti~e~s·
NAME OF COMMITTEE NAME OF TREASURER

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STREET ADDRESS (NO P.O. BO>C) CITY STATE ZIP CODE AREACODE/PHONt

CAILMELO
CITY
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STATE ZIP CODE AREA CODI:/PHONE--
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NAME OF ASSISTANT TREASURER, IF ANY
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MAltiNG ADDRESS (IF DIFFERENT)

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E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL} CITY STATE ZIP CODE AREA CODE/PHONE

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COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)

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STREET ADDRESS (NO P.O. BOX)

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CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
CA I'Li\'1 E'L CA. 0:.) 3921 L\1)-~$ 9-3 lt'
''-... 3. Verifi~anon . .. . . . . . . . . .. ."''' . ..... . ...... • ?''·"' 'T·c: '' ··: • ·: · ·
. I have usecTallreasonabiediligenceirl preparing this statement anl:ito the best ofj knowiedgetheinfurmation contained herein is true and complete.. I certify under
penalty of perjury under the laws of the State of California that tbs fs5P?Rinz ·s t I correct.
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Executed on
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Executed on 47/ {j ?../_1..£:; I B By


r iATE

Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT

Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
CALIFORNIA
FORM
41 0
INSTRUCTIONS ON REVERSE
Page
COMMITTEE NAME 1.0. NUMBER

1--\- vb 1ti?s Ll; C~IU\\EL ·I\"! A.. ~oQ. l-P\B


All committees must list the financial institution where the campaign bank account Is located.

NAME Of FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER

ADDRESS CITY STATE ZIP CODE

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Controfled Committee

• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also Jist 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." Stating "No party preference" is acceptable.

• If this committee acts jointly with another controlled committee, Jist the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT {INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE

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No(3/ Partisan (list political party below)

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Nonpartisan Partisan (list political party below)

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Primarily 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
IF A RECALL, STATE "RECALL'' IN FRONT OF THE OFFICEHOLDER'S NAME (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
··-~·· -··-

SUPPORT OPPOSE

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SUPPORT OPPOSE

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FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov {866/275-3772)
www.fppc.ca.gov
Candidate Intention Statement Date Stamp
CALIFORNIA
FORM
50 1
Check One: s(;tial 0 Amendment !Explaiol Cl·.,j •C Ib I
'YI Of arme - y-therSea
Fo• Offic;al Use Ooly

JUN 12 2018
1. Candidate Information: Received by City Clerk
NAME OF CANDIDATE (last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL (optional)

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STREET ADDRESS CITY STATE ZIP CODE

CA-<Lm!;Lo "'L?b <L.."'"!:- ~IZ.N\EL Cf';..


OFFICE SOUGHT (POSITION TITLE) AGENCY NAME ON-PARTISAN

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OFFICE JURISDICTION
0 State (Complete Part 2.)
"7-0\ 8
!B""City D County D Multi-County: {Name of Multi-County Jurisdictiori) (Year of ElecSon)

2. State Candidate Expenditure Limit Statement:


(Ca/PERS and Ca/STRS candidates, judges, judicial candidates, and candidates for focal offices do not complete Part 2.)

-,;;=""'=" Primary/general election


(Year of Election)
-==~=~
(Year of Election)
SpeciaVrunoff election

(Check one box)

D I accept the voluntary expenditure ceiling for the election stated above.

D I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
0 I did not exceed the expenditure ceiling in the primary or special election held on: __]__}_ _ and I accept the voluntary expenditure ceiling for
the general or special run-off election.

(Mark if applicable)

D On __}__]_ _ , I contributed personal funds in excess of the expenditure ceiling for the election stated above.

3. Verification:
I certify under penalty of perjury under the laws of the correct.

Executed on 0 i.e I 0 a./-z...o I e


(month, day, year) FPPC Form 501 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275·3772)
www.fppc.ca.gov

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