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Statement ot Organization Recipient Committee

Statement Type
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Type or prlnt i n ink

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RE E I Y E D a A iFl&
In the ffice of the SecretaW f the Stats of Callforr Termination - See Part 5
Llst I.D. number:

Amendment

Not yet qualified

or

List I.D. number:

4 I
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STATEMENT OF ORGANIZATION

NOV 1 4 201111NOV115 PI1 1 ~ 4 1

I d Date

I d Date

2 2 Date of Term~nai~on

qualified as committee

qualified

as comrnlttee (If applicable)

1)EBWA BOWEN Secretary of State

I.Committee Information
NAME OF COMMIXEE

2. Treasurer and Other Principal Officers


NAME OF TREASURER S T R F A D C R E S S (NO P 0 BOX)
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STREETADDRESS (NO P O BOX)

ClTY

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STATE

O a k \ a ~ d CA
MAILING ADDRESS (IF DIFFERENT) OPTIONAL: FAX I E-MAIL ADDRESS
I

-. 9461% ,-. . ,ZIP CODE

Cl r Y

oakland

STATE

-.

- - I

ZIP CODE

C &
STATE

AREA CODWPHONE

NAME OF ASSISTANTTREASURER. IF ANY

44605 . . - , - - ,
\ZIPCODE

A R M CODUPHONE

STREET ADDRESS (NO P O BOX) AREA CODUPHONE

ClTY

..

-I

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, NAME OF

PRINCIPALOFFICER(S)

COUNTY OF DOMICILE

COUNTY WHERE COMMIXEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE

STREETADDRESS (NO P 0 BOX)

-C lTY

. -STATE ZIP CODE

Attach addrtronal rnfofmatron on appropnately labeled contrnuatron sheets

Cft 9460%
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.-

A R P CODUPHONE

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3. Verification
1 have used all reasonable diligence in preparing this statement and to the best of my pejury under the of California that the foregoing is true and correct.
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knowwge

the information contained

herein

is true and complete. I certify under

penalty o f

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DATE

BY BY BY

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Executed on

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Executed

on

11 / 1 3

I\\

DATE

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'

DATE

Executed on

. ,
DATE

-!SIGNANRE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT


S I G N A T U R EO F C O N T R O L L I N GO F F I C E H O L D E R .C A N D I O A T E ,O R STATE M E A S U R EP R O P O N E N T

@l~l.~~~.h.~n~*$L&&Q DFFf QC W A N ~ D I O A T E , OR STATE M E A S U R EP R O P O N E N T


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F P P C Form 410 (Aprill2011) F P P C Toll-Free Helpline: 866lASK-FPPC (8661275-3772)

S t a t e m e n t nf Orgar!IzalIc!r.

Recipient Committee
iNSTRUCTlONS ON REVERSE

I Page 2
I.D. NUMBER

COMMlUEE NAME

Cecal I and R e s t 0 r e
4. Type of Committee
Complete the applicable sections List the name of each controlling officeholder, candidate, or state measure proponent. district number, if any, and the year of the election. If candidate or officeholder controlled, also list the elective office sought or held, and

List the political party with which each officeholder or candidate is affiliated or check "non-partisan."

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 O R HELD (INCLUDE DISTRICT NUMBER IF APPLlCABLEl

YEAR O F ELECTION

PARTY
-

- 1
I

1 I

Non-Partisan

U Non-Partisan

Llst the financ~al inst~tution where the campalgn bank account is located (controlled "candidate election" committees only) NAME O F FINANCIAL INSTITUTION
I
CIN
-

ADDRESS

STATE

ZIP CODE

Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S)NAME O R MEASURE(S)FULL TITLE (INCLUDE BALLOT NO. OR LEUER) CANDIDATE(S)OFFICE SOUGHT OR HELD O R MEASURE(S)JURISDICTION (INCLUDE DISTRICT NO.. C I N O R COUNTY. AS APPLICABLE)
cayF

CP!E OPPOSE

SUPPORT

OPPOSE

FPPC Form 410 (Aprill2011) FPPC Toll-Free Helpline: 8661ASK-FPPC (3661275-3772)

Statement ot Organization Recipient Committee


INSTRUCTIONS ON REVERSE
Page 3

COMMITTEENA E

~ e c aIr a n d Restore
(Continued) Not formed to suppon or oppose specific candidates or measures in a angle election. Check only one box:

I.D. NUMBER

4. Type of Committee

[7
PROVIDE BRIEF DESCRIPTION O F ACTIVITY

CITY Committee

[7

COUNTY Committee

0 STATE Committee

List addit~onal sponsors on an attacnment.


NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION O F SPONSOR

STREET ADDRESS

NO. AND STREET

C lTY

STATE

ZIP CODE

-n.

I -

Date qual~fied

5. Termination Requirements

By signing the verification, the treasurer, assistant treasurer andlor candidate, officeholder, or proponent certify that ail of the following conditions have been met:

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

- Tilere are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates.
Government Code Section 8951 9.
-

Refer to

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 F o r m 410 (Aprill2011) 866lASK-FPPC (86612753772)

FPPC

Toll-Free Helpline:

SECRETARY OF STATE
November 14, 201 1

1500 1 lth Street, Room 495 Sacramento, C A 958 14 (916) 653-6224 (916)653-5045IFAX)

POLIT1C;AL REFORM DIVISION P.O. Box 1467 Sacramento, C A 9 58 1 2 - 14 67 WWW.SS.cWgovebSite)

LEONARD RAPHAEL QUAN AND RESTORE OAKLAND, COMMITTEE TO RECALL MAYOR JEAN 4922 DESMOND ST. OAKLAND CA 9461 8

Dear Committee Treasurer: Thank you for filing your Recipient Committee Statement of Organization (Form 410). Your committee identification number is 1342967. This number should be used on all the campaign statements your comm~ttee files and given as information to all persons and committees to whom you make contr~but~ons. Based on your Statement of Organization, your filing jurisdiction is at the city or county level. (Government 84215) (Note: All subsequent section references are to the Government Code.) Since the Code sect~on Secretary of State is a state level filing officer, you will not ordinarily be required to file campalgn d~sclosure statements with this office. Please refer to the information sheet "Where Campaign Statements Must be Filed by Candidates, Officeholders, and Campaign Committees at the Local Level" (www.sos.ca.gov/prd/campaign~info/filingrequirements/wheretofilelocal.htm) in order to determine your appropriate local filing officer(s). You may need to file semi-annual statements (9 84200.5) on an ongoing basis, even if you have no activity. Your committee may also be required to file several types of pre-election and election-specific statements, late contribution (9 84203) and late independent expenditure ($ 84204) reports, various types of amendments (9 81004.5), termination statements (9 84214), and other special reports required by law. In addition, candidates may be required to file candidate intention statements (5 85200) statements of economic interests (9 87201), and other types of reports. Please refer to the appropriate Fair Political Practices Commission (FPPC) campaign information manual for your specific filing requirements. Changes may occur in the information contained in your original or currently-filed Statement of Organization. For example, you may change the name of your committee, addresses, or treasurers. You must designate a Statement of Organization as an "amendment" and file an original ancl one copy with this office within 10 days of any change (5 84103(a)). In addition, if any information contained in your currently-filed Statement of Organization changes during the 16 days immediately preceding the election in which the committee is required to file a pre-election statement, an amendment must be filed within 24 hours of the change. Keep in mind that a copy of all committee registration statements must also be f~led with your appropriate local filing officer (9 84101(a)). The law proh~bits a committee from making or receiving contributions without a treasurer. If you resign as the committee treasurer, your committee cannot make any financial transactions until a new treasurer is appointed and the amendment is filed with this office (5 84100). When your committee is no longer active, or if it disbands, you must designate a Staterrlent of Organization as a "termination" and file an original and one copy with this office in order to officially terminate your active status. Until such a Statement is filed, your committee will be subject to all filing requirements and could be fined for failure to timely file (9 84214). Appropriate forms and manuals may be obtained from your local filing officer or you may download the latest forms, manuals, and filing schedules from the FPPC website at www.fppc.ca.gov.
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If you have any questions about your campaign filing requirements, please contact your local filing officer or the Fair Political Practices Commission at (916) 322-5660. If you have any questions about your Statement of Organization, c 3loria Perez at (916) 653-8763 or Troy R: \n at (916) 653-8069.

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