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410 Marquez (08-30-18) Amendment_RedactedCOPY Statement o Organization Date Stamp :..�,� C .. • - CALIFORNIA ' Recipient Committee E • - Statement Type ❑ initial 0 Amendment ❑ Termination — See Part 5 AUG 0 2010 For Official Use Only 0 Not yet qualified or 0 Date qualification threshold met Date qualification threshold met Date of termination ty i,'. t! C.9 V:4=r i:J e"tiur:, City Cier:{'s hepar tme n 08 29 2018 / / 1. Committee Information I.D. Number2. 7 Treasurer and Other Principal Officers (if applicable) NAME OF COMMITTEE NAME OF TREASURER Ray Marquez for City Council 2018 Barbara Marquez COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE San Bernardino City of Chino Hills, District1 Attach additional information on appropriately labeled continuation sheets. vermcanon I have used all reasonable diligence in pn penalty of perjury L4nder the laws of the .'Executed on /Aq/ /q By z�, DATE Executed on Y I By DATE Executed on DATE Executed on DATE By By NAME OF ASSISTANT TREASURER, IF ANY None STREET ADDRESS (NO P.O. BOX) None CITY STATE ZIP CODE AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) Ray Marquez STREET ADDRESS (NO P.O. BOX) 15922 Old Carbon Canyon Road CITY STATE ZIP CODE AREA CODE/PHONE Chino Hills CA 91709 909-226-6538 ation contained herein is true and complete. I certify under EASURER NYT11�11�uL4tFY9:i�9:L7�i�LLi1tl OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Ray Marquez for City Council 2018 1 K 0 -7 y i- n • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION Chino Commercial Bank, NA. 4. Type of Committee Complete the applicable sections. • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference" is acceptable. • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY NAME OF CAN MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) rHFrK nNF SUPPORT Nonpartisan Partisan (list political party below) Ray Marquez City of Chino Hills City Council, District 1 2018 Nonpartisan Partisan (list political party below) Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) rHFrK nNF FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SUPPORT OPPOSE SUPPO RT OP FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov