FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
CALIFORNIA
FORM
410
Who Files
Recipient Commiees: Persons (including an



.




Candidates: 






Mulpurpose Organizaons: 







When to File















Where to File
All Commiees: 





County & City
Commiees: 




Commiee ID Number

.




Amendments






24-Hour Reporng


 





 






and


 










FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
CALIFORNIA
FORM
410




1. Commiee Informaon
I.D. Number
(if applicable)
3. Vericaon
















Statement Type
Initial
Not yet qualied
or
Date qualication threshold met
/ /
Termination – See Part 5
Date of termination
/ /
Amendment
Date qualication threshold met
/ /
2. Treasurer and Other Principal Ocers


   





Aach addional informaon on appropriately labeled connuaon sheets.

   
   

   



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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
Statement Type:
Inial




Qualicaon Threshold



Amendment


 
 
 
 
Candidates:

.



Terminaon


.
1. Commiee Informaon:










Idenfy the jurisdicon where the commiee is acve.
For example a city commiee lists the name of the city.
Commiee Name Requirements




Candidate Controlled Commiees:



 elecon commiee




 oceholder commiee





 legal defense fund



 ballot measure commiee





Sponsored Commiees:






Primarily Formed Commiees
Ballot Measures:


 




Recalls:





Supporng or Opposing a Candidate:







FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
CALIFORNIA
FORM
410

 

 
 
4. Type of Commiee 
 
Page 2

Controlled Commiee




Primarily Formed Commiee














 

 All commiees must list the nancial instuon where the campaign bank account is located.








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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 Ocers:




















3. Vericaon/Original Ink Signature(s):

an







.
Bank Account Informaon
 





4. Type of Commiee:
Controlled Commiee













Candidate Elecon Commiee: 


Ballot Measure Commiee Controlled by State
Candidate: 








Legal Defense Commiee:




Primarily Formed Commiee







New commiees:













State ballot measures - qualicaon ID number: 
   
 

 
 
or
 

Recall Commiees:





FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
CALIFORNIA
FORM
410
 
Page 3

5. Terminaon Requirements
 
 
 
 
 
 

 

General Purpose Commiee




Sponsored Commiee
     

4. Type of Commiee


CITY Commiee
COUNTY Commiee
STATE Commiee

Small Contributor Commiee
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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
General Purpose Commiee




 state commiee






All polical party commiees that
meet the requirements as a polical party pursuant
to Elecons Code Secon 5100 (Government
Code Secon 85205) (including county central
commiees) are state commiees.
 county commiee





 city commiee





A city or county commiee may make up to four
contribuons in a calendar year to candidates for
elecve state oce whose districts are within the same
jurisdicon and is not required to change its status to a
state commiee.















Sponsored Commiee






 


 


 



 





Small Contributor Commiee






5. Terminaon Requirements

 

 



 


 
 


State Candidates: 

How to Terminate
r
State Commiees: 



Local Commiees: 



