ORIGINAL COPY

Statement of Organization DateStamp CALIFORNIA
Recipient Committee FORM  0

Statement Type initial Amendment El Termination-See Part5 ?2 Sq Forof?cial Use Only
Nam qwde or List LD. number: ListI.D. number:   ~8  

 

 

 

5.9. 99. ROV

 

 

 

 

 

 

 

Date claimed as Committee Date quali?ed as committee Date of Termination
(If applicable)
1. Committee Information 2. Treasurer and Other Principal Of?cers
NAME OF COMMITTEE NAME OF TREASURER
Sam Abed For Supervisor 2016 Mona Abed
STATE ZIP CODE AREA CITY STATE ZIP CODE AREA 

 

Escondido CA 92029 Escondido CA 92029 
NAME OF ASSISTANT TREASURER. IF ANY

ADDRESS DIFFERENT)

 

 

 

FAX I E-MAIL ADDRESS STREET ADDRESS INC FD. BOKI

 

 

COUNTY OF JURISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE ZIP CODE AREA 

 

 

 

NAME OF PRINCIPAL OFFICERISJ

 

. . . STREET ADDRESS (NO P.O. BOX)
Attach additional information on apprOpriotely labeled continuation sheets.

 

CITY STATE ZIP CODE AREA 

 

 

5. Veri?cation

I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and compiete. i certify under
penalty of perjury under the laws of the State California that the foregoing is true and correct.

Executedon  By ALMA

 

 

 

 

 

DATE SIGNATURE or TREASURER on ASSISTANT TREASURER
Executed on  1 5 By 

DATE SIGNATURE oi CONTROLLING OFFICEHOLDER. CANDIDATE, on STATE MEASURE PROPONENT
Executed on By

DATE SIGNATURE or CONTROLLING OFFICEHDLDER, CANDIDATE. oR STATE MEASURE PRoi-oiiEHT
Executed on By

DATE SIGNATURE or CONTROLLING OFFICEHOLDER. on STATE MEASURE pnoponem

FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)


Statement of Organization CALIFORNIA  0
Recipient Committee FORM

INSTRUCTIONS ON REVERSE

 

Page 2

 

COMMITTEE NAME LO. NUMBER

Sam Abed For Supervisor 2016

 

0 All committees must list the ?nancial institution where the campaign bank account is located.

 

 

 

 

 

NAME OF FINANCIAL AREA BANK ACCOUNT NUMBER
American West Bank (760)520-0400
355 West Grand Avenue Escondido CA 92025

 

4. Type of Committee Complete the applicable sections.

Controlled Committee

0 List the name of each controlling Of?ceholder, candidate, or state measure proponent. If candidate or Of?ceholder controlled, also list the elective of?ce sought or held, and
district number, if any, and the year of the election.

0 List the political party with which each Of?ceholder or candidate is af?liated or check "nonpartisan."
- If this committee acts jointly with another controlled committee, list the name and identi?cation number of the other controlled committee.

ELECTIVE OFFICE SOUGHT on HELD
NAME or MEASURE PROPONENT 045mm NUMBER H: YEAR OF ELECTION PARTY

 

Nonpartisan

Sam Abed For Supervisor - District 3 San Diego County Board of Supervisors 2016

 

Nonpartlsan

 

 

 

 

Primarin Formed Committee Primarily formed to support or oppose speci?c candidates or measures in a single election. List below:

OFFICE SOUGHT DR HELD OR 

NAME OR FULL TITLE BALLOT NO. OR LETTER) DISTRICT NO CITY DR COUNTY AS CHECK ONE

SUPPORT OPPOSE

greg?


FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/ 215-3772)


 

 

 

 

 

 

 

 

ABED
l' ESCONDIDO


?0 CA 92029

 

Registrar of Voters
Campaign Disclosure
PO. Box 85656

San Diego, CA. 92186-5656