Statement of Organization
Recipient Committee

5-) 0 

 

 

 

 

Statement Type Initial

. Not yet quali?ed
or

Amendment

 

 

 

 



El Termination See Pa

AUG 19 2019

 

 

 

 

    

 

-J Em.) E. CALIFORNIA
3 . FORM


 

410

For Of?cial Use Only

  
  
     
  

  

 
  

     

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0 Data quali?cation threshold met Date quali?cation threshold met Date of termination 
. In 1' 4 CLERK
.ID. Number f?
I (?ammable) . I A . 
NAME OF COMMITTEE NAME OF TREASURER I: .
RECALL SLATIC - FUSD TRUSTEE DISTRICT 7 CAROLE LAVAL I: 
5mm ADDRESS no. soul
mm ADDRESS {no 9.0. sex] on STATE ZIP coo: AREA commune
FRESNO CA 9371 1 559-435-4043
cm 5m: ZIP coo: AREA covenant-IN: NAME or ASSISTANT TREASURER, IF Am
FRESNO CA 9371 1 559-492-6798
FULL MAILING ADDRESS IIF STREET ADDRESS PLO. BOKI
E-MAIL ADDRESS IREQUIREDH FAX CITY STATE ZIP CODE AREA CODUPHONE

coum or oomcue JURISDICTION WHERE COMMITTEE Is NAME or pamchL ornceats)
FRESNO FRESNO
STREET ADDRESS {no no. son
5m: ZIP cons AREA CODEIPHDNE

Attach additional information an appropriately labeled continuation sheets.

  

 

 

 

 

 

 

  

 

 

I 

Executed on By

Di 6
Executed on 2 By

DATE
Executed on By

DATE SIGNATURE OF CONTROLLING OFFICENOLOEA. CANDIDATE, on STATE MEASURE PROPONENT
Executed on By

DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. on STATE Immune PROPONENT

 

FPPC Form 410 (August/201s)

FPPC Advice: (866/275?3772)



 

 

Statement of Organization CALIFORNIA 41 0
Recipient Committee F0 RM

INSTRUCTIONS ON REVERSE

    

Paaez

COMMITTEE NAME ID. NUMBER

RECALL SLATIC - FUSD TRUSTEE DISTRICT 7

 

 

- All committees must list the ?nancial institution where the campaign bank account is located.

 

 

 

 

NAME or FINANCIAL INSTITUTION AREA conmnowt BATIK AccouuT NUMBER

BENEFICIAL STATE BANK (888) 326-2265 
ADDRESS CITY STATE ZIP coo:
FRESNO CA 93704

 

 

- II, 11' ?eommittee Complete the applicable sections.

Controiivd Commim'c?

 

0 List the name of each controlling of?ceholder, candidate, or state measure proponent. If candidate or Officeholder controlled, also list the elective of?ce sought or held, and
district number, if any, and the year of the election.

List the political party with which each Of?ceholder or candidate is af?liated or check ?nonpartisan.? Stating ?No party preference? is acceptable.

0 If this committee acts jointly with another controlled committee, list the name and identi?cation number of the other controlled committee.

ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATEIOFFICEHOLDERISTATE MEASURE PROPONENT DISTRICT NUMBER IF ELECTION CHECK ONE

Nonpartlsan Partisan [Ilst political party below}

 

 

 

 

 

Nonpartlsan Partisan (list political partybelow}

CD



Primarily Formed Connm'rtee Primarily formed to support or oppose speci?c candidates or measures in a single election. List below:

 

 

 

 

 

 

 

 

 

 

 

 

 

CANDIDATEISI NAME on MEASUREISI FULL TITLE BALLOT NO. on CANDIDATEISI orncs SOUGHT on HELD on MEASUREISI JURISDICTION
IF A RECALL, STATE IN FRONT or THE NAME. Imcw DE DISTRICT no, CITY or: COUNTY, As CHECK 0N5
SUPPORT DPPOSE
RECALL SLATIC - FUSD TRUSTEE DISTRICT 7 FUSD DISTRICT 7 - RECALL TRUSTEE TERRY SLATIC 

 

 

 

 

 

 

 

 

ling-gin

FPPC Form 410 (August/2013)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)


 

 

Statement of Organization CALIFORNIA 4 1
Recipient Committee FORM 0

INSTRUCTIONS 0N REVERSE

 

 

 

 

    

 

 

 

 

 

Page 3
COMMITTEE NAME ID. NUMBER
RECALL SLATIC - FUSD TRUSTEE DISTRICT 7
4i-Tvpe of Committee - - {Continued} 
Gent-aim! Purim?? Committee Not formed to support or oppose speci?c candidates or measures in a single election. Check only one box:
CITY Committee COUNTY Committee STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET ST ATE ZIP CODE AREA CODEIPHONE

 

Small Contributor Committee I I

on: quali?ed
5. Termination Requirements the veri?cation, the treasurer, assistant treasurer and/or Candidate, of?ceholder, or proponent certify that all of the following conditions have been met:
0 This committee has ceased to receive contributions and make expenditures;
0 This committee does not anticipate receiving contributions or making expenditures in the future;
0 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 ?led 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 of?cers who are leaving of?ce 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.

Form 410 (August/2018)
FPPC Advice: advice?fppc.ca.gov (866/275-3172)


 

 

 

 

Recall Slatic
Mi." i533?; r. m. 
Fresno, CA 93711
2011??) i.

 

Fresno County Elections

Fresno, CA 93721