HomeMy WebLinkAboutHaubert Form 410 08-12-2016 Amend_RedactedStatement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
El Amendment
List I,D, number:
# 1363526
03/27/2014
Date qualified as committee Date qualified as committee
(If applicable)
NAME OF COMMITTEE
DAVID HAUBERT FOR MAYOR 2016
❑ Termination — See Part 5
List I.D. number:
—✓ —✓
Date of Termination
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
ALAMEDA ALAMEDA
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing this stat(
penalty of perjury under the laws of the State of Californi
Executed on
By
DATE
Executed on
By
DATE
Executed on
By
DATE
Executed on
By
DATE
NAME OF TREASURER
DAVID BAUER
For Official Use Only
NAME OF ASSISIAN1 7 MEASURER, IF ANY
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE /PHONE
ation contained herein is true and complete. I certify under
TE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(Dec/2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
DAVID HAUBERT FOR MAYOR 2016
• All committees must list the financial institution where the campaign bank account is located.
2 of 3
I.D. NUMBER
1363526
4 Type of Committee Gomple a the applJcable sectTOnb
N r;
• 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
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
DAVID HAUBERT
DUBLIN
Mayor
2016
[D Nonpartisan
sum
❑ Nonpartisan
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)
CHECKONE
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
SUPPORT
El
OPPOSE
El
sum
OPPOSE
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov