[City of Sacramento] Large Political Committee - Statement of Organization Form

Statement of Organization Form
Large Political Committee

Date Qualified

COMMITTEE INFORMATION

Committee Name

Email (Treasurer)

Email (Principal)

Formation Date (Per form 410)

Is this a request for termination of Large Political Committee status?

Date of termination

Please note, this is a termination only of Large Political Committee status, not as a committee with the City of Sacramento.

VERIFICATION

Attach your most recent Form 410: Statement of Organization

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First Name

Last Name

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I certify that pursuant to Section 2.13.040 of the Sacramento City Code and under penalty of perjury under the laws of the State of California, the committee identified above has been in existence for more than six months, receives contributions from one hundred or more persons, and acting in concert, makes contributions to one or more candidates for City elective office.