410 HART 24-0605_RedactedStatement of Organization
Recipient Committee
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City Council 2024
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San Juan Capistrano CA 92675
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Orange San Juan Capistrano
Attach addloonal Information on appropriately labeledcundnuaean sheets.
the Name
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2. Treasurer and OtherPrindeal Officen
Cynthia Russell
STREET ROSAMUND AD. Arj.
OIY SiRIE ni WOE PPERCORaFNORP
San Juan Capistrano CA 92675 -
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OIOWEeOon By
DATE SIGNMURE OFCONIFOLLA4 OFAEENOLOER faEDIDATrOR SM" Mmun PRO40NENF
ExeaEtedon By
DATE SIGNANREOF LONTROLUNG OFEIEENOEDER. OAMWD E ORSMTE MEASURE ABUNDANT
FPPC Form 410 )Ausug/2018)
FPPCAdulm adwim@(pl:.Da.raa (866/275.3772)
WtOW.fpPe.Ca.gOV
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVEmE
City Council 2024
All mmmMees must list the financial lnsUkMm where the campaign bank account Is looted.
Fanners and Merchants Bank
_.—. ____
ADDRESS STATE NeoJDD
91873 Del Obispo Street San Juan Capistrano CA 92675
• 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.
• Ust 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, list the name and identification number of the other controlled committee.
NAME OF CANDIOATUOFFICENOLOEPJSTATE MWORE PROPONENT EIECTIVTRICT ESMUGHi0PNE10 YOU OF MRTY
IINCLUOE06TRFFICE BOUGRTCAHELD IF YOUON
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Primarily formed to support or oppose specific Candidates or measures Ina single election. Llst below:
CANOIOATEIS)NAME OR MEASUREISI FULLTmE (INCWDE BAUM NO. OR U=ER). CANDIOATEIS) OFFICE SOUGHT OR HELD OR MMUMS)JURISDICTION
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Howard Hart
Gly Councilmember
2024
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(aSt paaNW party below)
Primarily formed to support or oppose specific Candidates or measures Ina single election. Llst below:
CANOIOATEIS)NAME OR MEASUREISI FULLTmE (INCWDE BAUM NO. OR U=ER). CANDIOATEIS) OFFICE SOUGHT OR HELD OR MMUMS)JURISDICTION
.... n.............� ...�....... rnv... ....nvvvr�mww....n..n. n.aw......�...a.....�..... ..n�........�..........�....�, CX0.TOXf
WPPDA
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FPPC Fmm 420(August/1018)
FPPC Advice: a IWce@Fppeo.gov (8G0/27a}37R)
www.fppR.o.gnv
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Hart for SJC City Council 2024
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Not formed to support or oppose specific candidates or measures In a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
List additional sponsors on an attachment.
—/. — I
MM Walified
SjerminatbgRequirements Byslgningthe.verification, the treasurer, assisianttreasurer and/or candldatecfflieholder, or I a following wndItIons have been met:
• This committee has ceased to receive contributions and make expenditures, T
• 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 flied 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 (August/2018)
FPPC Advice: advice@fppc.m.gov (866/275-3772)
www.fppc.ca.gov