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410 HART 24-0619_RedactedStatement of Organization Recipient Committee Statement Type ® Initial ❑ Amendment Not yet quelled Or 0ualificalion threshold Hart for STC City Council 2024 sanjuan Capistrano CA 52575 ADDRESS OF orange Attach additional information on apprapriotely labeled continuation sheets. Date SIAMP Tennlna8on—See Parts i'\ECr.�—jVE 20214 Jilir' 2 t Date of termination Qr1 j(•, Russell San Jum Capistrano CA 82575 I have used all reasonable diligence In preparing this statement and to the est of my knowledge the information contained herein is true and complete. I cemfy under penalty of perjurV under the laws of the State of Ca Exected on &r{'7/pci OpF[ � ENGWIFTIEASIMER Wasedon 8118/2024 'sy CAE AGN MR OFCON LLIN O C DICATE, OR STATE MEANRE PROPONENT FAewted on ONE AGNATNREOFMNWOLUNGOMCENOLOER.CANOIOATE.OR9=MFMUREPROPONEm EReMed on By DUE Sii TURFOFMNTMwNSMFIaNOMMaNDIDATE.OasTAUMMUMPMPoaFM FPPC Farm 410(Gaober/2023) FPPC Advice: adviceeaf nec ca eov (666/2753772) urwwfnocco eev Statement of Organization Recipient Commie INGTRURIONE ON REVERSE COMMRTEE TLLME Hart for SIC Ctty Council 2024 Ali committees must list the financial Institution where the campaign bank account Is looted and the personisl authorized to obtain bank records. Farmers and Merchants Bank ADDRESS OF FINANCIAL INSTITU' 51873 Del Obispo Street 949-488-5880 CITY STATE OF CODE Sanfuan Capistrano CA 92875 • 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." Stating "No parry preference" is acceptable. • If this committee actsJolntly with another controlled committee, list the name and Identification number of the other controlled committee. EEMTKOFFICESOUGHTORHEID YEAROF PARTY NAME OFCANDIOWE/OFFCEHOLDEP/STATE MEASURE PROPONENT HNCUIOE DWRICT NUMBER IFAPPUCABLEI ELECTMN CHECNONE Howard Hart City Councilmember 2024 N"PannIum PAwAn- T IwPaMm PNn Hdwwr NonpNFRn FBNNn RMpmMwl pmlybelAw Primarily fomred to Support or oppose specific candidates or measures in a single election. List below: CANUIOATF(S)NAME OR MEAEORE(S) mkLTnu(BROMIDE BALLOT NO, OR LETTER CANDIOATE(s)OFRCESOUGHT OR HELD OR MWURW)FURISDIMON IF A RECALL RATE•RECALL' IN FRONT OF THE OFFICFMOLDE" NAME. [INCLUDE DISTRIET NO.. nTY DR MUM, AS APPMCABLEI CHEM ONE wPFDm FPPC Form 410 (OQaber/Mil) FPPC Advice: adylrerdlfODcw ew fe66/275-3772) vmmlfeoC o.eov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Hart for SJC City Council 2024 i .. . Not formed to support or oppose specific candidates or measures In a single election. Check only one box: ❑ CIN Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME STREETADDRESS NO.ANDSTREET CITY E�-ermination Requirements By signing the verification, the treasurer, as5i • This committee has ceased to receive contributions and make expenditures; GROUP OR AFFILIATION OF SPONSOR Page 3 STATE ZIP CODE AREACODE/PHONE • 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(October/2023) FPPC Advice: advlcerdfooc.w.Rov (866/275-3772) www.fooc.ca.FO