HomeMy WebLinkAboutGupta Form 410 08-02-2016_RedactedStatement of Organization
Recipient Committee
Statement Type D Initial ® Amendment
Notyetqualifled D or List I.D. number:
#1357076
0 --/0_ —/2013
Date qualified as committee Date qualified as committee
(if applicable)
NAME OF COMMITTEE
Abe Gupta for Dublin City Council 2014
P.O.
® Termination — see Part 5
List I.D. number:
#
CITY STATE ZIP CODE AREACODE/PHONE
MAILING ADDRESS (IFDIFFERI
FAX / E-MAIL ADDRESS
COUNTY OF DOMICILE
Alameda County
WHERE COMMITTEE IS
Attach additional information on appropriately labeled continuation sheets.
Date of Termination
I have used all reasonable diligence in preparing this statement and to the best of my
penalty of perjury under the laws of the S
Executed on 3 \ --t- 0 , 6 By
DATE
Executed on' By
DATE
NAME OF TREASURER
Date Stamp
g For Official Use
AUG 2 816
x'ry OF DUBLIly
CITYMANAGER'S ®FFZC
Matthew Morrison
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (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
lowledge the information contained herein is true and complete. I certify under
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 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Abe Gupta for Dublin City Council 2014
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
AREA CODE /PHONE
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
4520 Dublin Blvd. Dublin CA 94568
i'Controlled f Committee
Page 2
I.D. NUMBER
1357076
• 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
Abe Gupta
City of Dublin City Council
2014
® Nonpartisan
SO
❑ 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)
CHECK ONE
FPPC Form 410 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
SUPPORT
OPPOSE
SO
O[n
FPPC Form 410 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
Abe Gupta for Dublin City Council 2014 U11357076
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Sponsored List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO, AND STREET
CITY
GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
• 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 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov