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Pepin for City Council 2022 410 Amendment 09/23/2021Statement of Organization Recipient Committee Statement Type (t. %t+' the sine of -11 ' . 4- .1 r" of the $a� .spry• �� gate tha Slate of California SEP J 7 2021 CALIFORNIA FORM l410 ❑ Initial o Nut yu,; qualified or 0 ❑ino qualiriri7tion threshold f11ai / /___ ®Amendment Dale qualification threshold nic OR / 2020212021 © Terminitlon— Ohtts ____ See Part 5 (7f t[frinination / r: 7 , ' Ve `L :, 2 3 2021 .-...- s y OF POWAY _ „ � s}y.; I.,,umer ..d. ',pi.: 1, F,f ,eltif..� .4'• ,-d !..S-:.' A . ma ,.�-✓..�e�.i-e..F..:F.. , x4 ,°. we✓ • -. . •. .9"`..i.'�.' . _. _.. .. ..:'ti..iS.':T.Nin NAME OF t (aMMITTF€ Pepin for City Council 2022 NAM f Ur 'RCA5URkR William Baber tilIII k1 A it brkEETALILilSkStiNL} I41. BOX/ CITY La Mesa STATr CA 1IP CODE AMA COD Pli N 01942 (JTY SYATf /I:CODE AREA CODFIPI FIN! Poway CA 92064 NAM OF Ax SISTANI 1R@AtiklROI, II ANY HJLLMAII IND MIMI VS ill 01FfERPN IS I.a Pisa. CA 91942 a IR1 C1 A D145S(Nd N9 HON • L. SAML AUDIT LSS rNErri71fLD} I FAX t(IPTIGNAUI CITY STATE. EIP CODE A A CODEIPN M. k.BUNTY OF #MIl'1LI San DIegn ILIRIS01;! I!'..'N,i F`Ir f 11MMITT[f .4 Af1iVL City of Pnwny NAME Or riiiNCIPAI err I4IRi S7 is Attach oddf.lonal rnfornutian on appropriately labeled (drrtrnuution sheets, soul I Ali/MISS ENO P(7 l}17xI WV 5`.•,i 0.1 ARkACODE/PfitIN4 rip `�''t+•z' „ ;'+[-i- xa_- - ,i ;.:: y - .r �,� . `' "...', :.• ... r. er•- - -.;.-a Mg 7^, _.:-..`._ � . . 'rt# >:n€s ss:atement ana to tnv pest t)t my Knowe li)inrrnatlun contaln«a r1 rOin is trues and t:ornplet I certiry under penalty of perjury under the laws of the Slate of California that the foregoing is true and ccrrect. Executed An August 20. 2021 Ely {7AfF E7[ecute i Ofl August z0, 2021 ay pnTr Executorial) ay [?ALL fxecute1WO I l3n py ai6N/OukEOPTR[Ait/AltOMA STANI 1I(rh4ul1L l IIGNATUNI PI' (t7N1ROI LING Orrin II01 DFI7, CANtIDATt, Lill; A t MIASURE PROO NEN/ SIGNAL 1,14E OR C pN t NE31.1 ING Orr I t ff IF] 111f k, rA N DIDAtt. Lai 9I AI I, M LA h(IRE P PIO PL1N I N I sIG NAY 111:F f5( Pt1mtrttII Lin G OFrirrtiOlfn.k. CANDIDATE, on NrAn MEASURE PAP Pf?NrN1 c3N FPPC Form 410(August/201$) FPPC Advice; (865/2 /S-3773j Statement of Organization CALIFORNIA A 1 0 II �t F\VVspecrIit V ••VV INSTRUCTION% ON RIVE RSE Pap 2 COMMITTEE NAM Pepin for City Council 2022 I P NUMBER 1439479 • All committees must Ilst the financial institution where the campaign bank account Is located, NAME OF FINANCIAL INS i1 UTION Union Bank Al l A CUIq/I'IION( 019-607-3000 BANK ACCOUNT NUMRI X ADDRESS (III 3123 Lemon Grove Avenue !,min Grove STATE CA %lb CODE 91945 ' •.. ' Drtt • ` ' '. p) .. ,', ...'%} abt$ C'. .:5? .",:1.._ a:4-4`2 ... :„, ' w , .:.Sc.. ;'. Controlled ! nrtunittrC • 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. NAMI OF CANDIDATE/Or IICrtIO!DER/STATE MEASURl PROPONENT LLECTIVE OFHICt SOUGHT OR HtI.0 (INCI UDF DISTRICI NUMRrR IF APPI KAKI r) YLAR OF ELECTION PARTY CIRCA ONE Brian Pepin Poway City Council District i 2021 Nonpart uan / Partisan ORt political party hulow) NonparlWSati Partisan (lilt political party hole) Primarily 1 ar nerd (, rrnmit err Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(%) NAME OR MEASURE(%) FULL TI1LE (INCLUDE BALLOT NO. OR LETTER) II A RECALL, STATL "RCLAI,1" IN FRONT ILI THE Or rICEHOLDCR'S NAME. CANDIOATC(S) OFFICE SUUGH1 OR HELD OR MI ASURF(S) IURISntCTION (INCLUDE DI`'IFtILT NO, CITY OR COUNTY, AS APPLICABLE) CHECK ONE XUPPORT OPPOSE SUPPORT OMPOst FPPC Advice. FPPC Form 410 (August/2018) (866/275.3772)