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FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Instructions for
Statement of Organization
CALIFORNIA
FORM
410
2. Treasurer and Other Principal Ocers:
3. Vericaon/Original Ink Signature(s):
an
.
Bank Account Informaon
●
4. Type of Commiee:
Controlled Commiee
Candidate Elecon Commiee:
Ballot Measure Commiee Controlled by State
Candidate:
Legal Defense Commiee:
Primarily Formed Commiee
New commiees:
State ballot measures - qualicaon ID number:
or
Recall Commiees: