HomeMy WebLinkAboutPolsky, Alexander S. - 2013 FPPC Campaign Disclosure Forms f (8)Statpmant of Organization
INSTRUCTIONS ON REVERSE
STATEMENT OF ORGANIZATIC
Page 2
COMMITTEE NAME I.D. NUMBER
Alexander Polsky for HB City Council 2014
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 "non -partisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR
AP HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Alexander S POlsky
Huntington Beach City Council
2014
® Non -Partisan
Non -Partisan
• List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION
ADDRESS
CITY
BANK ACCOUNT NUMBER
STATE. ZIP CODE
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
O O
FPPC Form 410 (January/0i
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-377;