close

Вход

Log in using OpenID

embedDownload
KAUFMAN LEGAL GROUP
MEMORANDUM
stacey J. Shin
Attorney
777 South Figueroa Street, Suite 4050
Los Angeles, California 90017
to;
^^^^l®&Qtiori-Commission~
from:
Stacey J. Shin
re:
FEC Form 1
file no.:
POL9000.000
date:
August 1, 2014
Q
Enclosed for filing please find the following form(s):
1
2
8
2
•
8
Thank you for your assistance.
I
Main: (213)452-6565
Direct: (213)452-6547
Fax: (213)452-6575
FEC Form 1- Californians for Innovatioii (Original + 1 Copy + 1 Face Page)
Please conform the face page(s) and return to the undersigned in the enclosed self-addressed
stamped envelope.
X:\WDocs\Clients\POL9000\000\00l44063.DOCX
r
RECEiVEO n
STATEMENT OF
ORGANIZATION
FEC
FORM 1
i6i4AUG-U
CEHTF'-'
1.
NAME OF
COMMITTEE (in full)
(Check if name
is changed)
Californians
for Innovation
I I I I I
I I I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
Example; If typing, type
over the lines.
I
I
I I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
(Check if address
is Changed)
I
I
I I
I
I
I
I
I
I
I
|Lps AngelesI
I
I
I
I
I
I
I I
I
I
I
I
I7
I I I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
i
I
I
I
I
I
I
I
I
I
I
C^
CITY
2
V
12FE4M5
777
S. Figueroa St., Ste. 4050
I I I I I r I I I I I I 'i I I
I I I
ADDRESS (number and street)
0
3
I
>1
|9P017 I,
STATE
ZIP CODE
COMMITTEE'S E-MAIL ADDRESS (Please provide only one e-mail address)
(Check if address
is changed)
8
9
ls^l;iip@|k9gfiTi3r'l^g^lgrpgp.QQnf?
I
I
I
I
I
I
1
I
I
I
I I
I
1
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
COMMITTEE'S WEB PAGE ADDRESS (URL)
I
(Check if address
is changed)
I
I
I
El'IS'
2,
DATE
3.
FEC IDENTIFICATION NUMBER
4.
IS THIS STATEMENT
X
NEW (N)
IclPendtn
OR
AMENDED (A)
/ certify that I have examined this Statement and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Treasurer
Astl ChOpfa
Signature of Treasurer
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Statement to the penalties of 2 U.S.C. §437g.
ANY CHANGE IN INFORMATION SHOULD BE REPORTED WITHIN 10 DAYS.
L
Office
Use
Only
For further Informatioh contact:
Federal Election Commission
Toil Free 800-424-9530
Local 202-694-1100
FEC FORM 1
(Revised 02/2009)
n
r
Page 2
FEC Form 1 (Revised 02/2009)
5.
TYPE OF COMMITTEE
Candidate Committee:
This committee is a principal campaign committee. (Complete the candidate information below.)
(a)
(b)
•
This committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate
information below.)
Name of
Candidate
Lj
I
I
I
I
Candidate
Party Affiliation
I
l—l
l—J
I
I
L
I
III
I
2
8
2
7
I
I
I
I
I
State
Office
Sought:
House
President
Senate
1
0
1
I
District
(0
g
Name of
Candidate
This committee supports/opposes only one candidate, and is NOT an authorized committee.
IBQ Kri^nna
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
'
I
I
I
I
I
I
I
Party Committee:
(d)
This committee is a
(National, State
or subordinate) committee of the
(Democratic,
Republican, etc.) Party.
Political Action Committee (PAC):
This committee is a separate segregated fund. (Identify connected organization on line 6.) Its connected organization is a:
(e)
_|
Corporation
Corporation w/o Capital Stock
Labor Organization
Membership Organization
Trade Association .
Cooperative
In addition, this committee is a Lobbyist/Registrant PAC.
(f)
•
This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party
committee, (i.e., nonconnected committee)
In addition, this committee is a Lobbyist/Registrant PAC.
I
In addition, this committee |s a Leadership PAC. (Identify sponsor on line 6.)
Joint Fundraising Representative:
(9)
This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political
committees/organizations, at least one of which is an authorized committee of a federal candidate.
(h)
This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political
committees/organizations, none of which is an authorized committee of a federal candidate.
Committees Participating in Joint Fundraiser
1.
L
I I I I
J FEC ID numberIQ
2.
J FEC ID number
3.
I FEC ID number
4.
I FEC ID number
J
r
n
FEC .Form 1 (Revised 02/2009)
Page 3
Write or Type Committee Name
Californians for Innovation
6.
Name of Any Connected Organization, Affiliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor
iNqnp
Mailing Address
1
A
I
CITY
1
2
8
2
7
Relationship:
7.
9
1
Connected Organization
STATE
Affiliated Committee
I
I
ZIP CODE
Joint Fundraising Representative
Leadership PAC Sponsor
Custodian of Records: Identify by name, address (phone number -- optional) and position of the person in possession of committee
books and records.
|Ash Chopra I
Full Name
I
I
I
I
I
1
I
I
I
I
I
I
I
I
I
I
I
I
{
I
I
I
I
I
I
{
I
I
I
I
WV , l-l
I
I
I
77??fWefqa,S;.„S,te,')0,59
Mailing Address
I
I
I
|Lp^/)ng^le,s, , ,
Title or Position
|
CITY
I
8.
I
I I—L
I
I I
I
I
I
I
I
I
I I
I
STATE
I
ZIP CODE
Telephone number
I-
Treasurer: List the name and address (phone number -- optional) of the treasurer of the committee; and the name and address of
any designated agent (e.g., assistant treasurer).
Full Name
of Treasurer
lAsip Ph9Prp
I
I I
I
I
I
I
I
Ill
7/7?.,Figyefo,a,St.„S)e,^0,5Q
Mailing Address
I
I
I
I
I
|Lp^/)ngplps
CITY
I
I
I
I
I
I
I
I
I
I
|9PQ17, I-I
I
STATE
I I
I
ZIP CODE
Title or Position
I
L
I
I
I
I
I
I
I
I
I
I
I
I
I
Telephone number
|213, l-l''?2| l-|6?6? , I
J
r
FEC Form 1 (Revised 02/2009)
n
Page 4
Full Name ot
ssr""
I I
Mailing Address
I
I
I
I
I
I
I I
1
1
1
I
I
I
I
I
I
|7/7,S,. Ifigu^rc^a.S;.. ,S^e,4p5p I
I
I
I
I
I
I
I
I
I
I
I
I I I
I
I
I
I I
I
I
I
I
I
I
I
I
I
I
I
I I I
I
I
I
I
I
I
I
1
I I
I
I
I I
I
I
I
I
I
I
I
I
I
I
I
L9S,Apg,el^s
|
[C^
CITY
I
I
|9P0|1^
STATE
I
I I I I
I
I I
ZIP CODE
Title or Position
[Tre^sprpr, , | | | | | | | , | f | | , |
1,
2
8
9.
Telephone number
l^1^i I"
I"I I
Banks or Other Depositories; List all banks or other depositories in which the committee deposits funds, holds accounts, rents
safety deposit boxes or maintains funds.
Name of Bank, Depository, etc.
iQaljfqrr^i^ ^apl^ ^
Mailing Address
j—i
I
I
I
I
I
I
I
I
I
|5W ?• H9Pie|St..,Ste, 1,00
I
I
I I
I
I
I I
I I
1 I
I I
I
t
i I
I I I I I I I I I I I
I
I
|L9S,Apael9^ ,
I
I
I
i
I
I
I
I
I
I
I
I I I
I
I I I
I
I
I I I
iCfJ
CITY
I
I
I
|9P071, I l-l I , ,
STATE
ZIP CODE
Name of Bank, Depository, etc.
Li
Mailing Address
I
I
I
I
I—
I
III
I
I
I
I
I
I
I
I
I
CITY
L
I
I
I
I
I
I
I
L
I
I
I
STATE
I
I
I
i
I
I
I
I
I I
l~l
I
1
i
ZIP CODE
J
ajaq juaujnaop
Bu|ddii|s ;jasu| •
^
03
_.Q3_
s_S2
CO ^
o
CO S Q
S°CM
e>
<o
1
2
8
St
o Q
<
lO
CO
IV,
o
fi •
r^
<
CO
§
0
5
s
1
E
CN
<3
9
o
o
CO
L-SB
JOT
®
2
g
: CO
lilt J
o
ti
X V
M li.
V)
liJ
o>
CO
I
55 11VW 03
•OvC 1!J
.,0
Federal Election Commission
ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS
The FEC added this page to the end of this filing to indicate how it was received.
Date of Receipt
Hand Delivered
Postmarked
USPS First Class Mail
Postmarked (R/C)
USPS Registered/Certified
Postmarked
USPS Priority Mail
Postmarked
USPS Priority Mail Express
Postmark Illegible
No Postmark
Shipping Date
.•^Overnight Delivery Service (Specify):
Next Business Day Delivery
Date of Receipt
Received from House Records & Registration Office
Date of Receipt
Received from Senate Public Records Office
Date of Receipt
Received from Electronic Filing Office
Date of Receipt or Postmarked
Other (Specify):
g/ Sj'-f
PR^iPARER
(8/2013)
DATE PREPARED
1/--pages
Пожаловаться на содержимое документа