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ORANGE COUNTY LAPCO prvr� IAptdlea iaar Form
<br />palter 6 W'9
<br />LAFCO Li19014sure of Political Expenditures
<br />EMc(ivc January 1, 20LK, political expenditures related to a piep(maf for ra chang(c of urgainimlion rt
<br />rayarpaimfion that will tx of ha-� i.+cc'aa sedanilled to LAFCCi ale subjoel to 11-ic reposing .mad diselosuiv
<br />rcgalrcatrents or the ]lots icwE RcPnfm Act of 1974 Anil the CorC ese-1Cata •1iarCzberf pet csf 2flt �l_
<br />Plreaseramfullyread irlie alloisfin; trtjirroiarDhwrreededurmikeand ,T&rvd'w.varrrlrrravixi arsf1pplpla,trum
<br />..- Any ptrnon ov cirnbin;ewrrr of Poricws xviro, for pohlicit pur{r..11,Kts, dlreclly oT dndncetip ccmtrihartcs ,Ft,GItNa pr monz, of
<br />expcuds 5I •Pa'io or rnc-xc in support a1; ar fa alapasSlirn to a ptt trial fnr a ehanyn of argania;rtion ar rcar;�ranixa7ion that
<br />will lwt &.11onittM to the Contnai_l,klo, Shall tbxclosr. aoid Npur the. cotrir Illo an an tha Com wksiva g lawnat to the
<br />TeciAremcros of the Political Reform Act of 1974 (G weyamcnt Code Section Slrinli el seq.) ns prcmdx;ifor loud
<br />in6iaii'm anua:rurra, and geinion A',5760.7 Arl of 7_ 1111.
<br />i_ pursuani to tioeeruarrrat Code &cticn 573'i I, any permoo or combination of persona who ditxn:il.y as indirectly
<br />conia'ibuics S1,11301) or mom, or expo'4,N $I,0,rX of inarc, in vJppcift of, ar in appasilitsn Zia, tlac camducaiag autl-krily
<br />proen^dinp fora cluinga of organiantaon or arnr};a"fnixatioa, rnuit comply whll the diMID.Alre mgaitti!monty torthe Po€ i-59 1
<br />Reform Act of 1974, (Goaerrilinm Code 1,,e iou 111000 or seyl.). Alrlabcablc relKin.5 tua»7 be riled with the Secreiary of
<br />the :Sinte aid dsc appmprisic ciyy or vuimty ctrrk. Capicv utitic roporl most ral:xo lac ftlrtl with the Cirange County
<br />Excoutiyct:iflicer.
<br />Evaluieiton Checklist for Ctisclosu.re of Political E etreRditurrs
<br />Tho IbDow'ing cliccklisiis provided' to assist you ill doectninittp if rate Mquirttaents ofC'rrrvoramant Code 5ec"tow
<br />81000 &.suer. vply to you. For further assislznce, conEact the fair 1'ratilie_ad Practices Cortimission at E429 J Sinet,
<br />Suite 450, Sacramento, CA 95814, (866) 275.3772 or al It[ill :_ +Yk+aY,t1Spt;.cu t t+t-
<br />1. Have you da'rcolyor indirectly rnadc a ctvntribt rion or vxpaad'iturc of $1,000 or more relah d to dw suplymi or
<br />opposition raf a praposal That hiu licen or unit hs subraind t0 WC O?
<br />ye-S
<br />No
<br />Ullu of wrerihmiort Amnunt^ Nianmr ltat. Mi o4" LAf4.'47-@mga ,anl _ __:.....
<br />Dim pmp, r�rrl mis utlbrrai led ws E.,,&CO
<br />_. iretvu ,you, in s,cnabir iurr with othvror purrvon(a), direotEy or indiraetly contributed or empeuded'F I,C1t3G or ravers,
<br />related to t'he auppuri or olV %ition of a prolteaswl dull ltan bean or will ire sal imilied to DWC- ?
<br />❑ Y06
<br />No
<br />Ontrnfea3atrihasdam_ __Arne>mai:i_ hi Fe. r.Nooff _AF(?C?Ili oprrial --
<br />l ;itc propos4 ava3 subrr:irett Ca LAI'W
<br />3, it you filer] a repoil ill acuoidtmce cuirh PPPC retltairettu:atts, has a copy orthc report Ile,,, Filed wlih Craa7itae
<br />L"aaunty L,+CP' 0.1
<br />❑ �f<U7i
<br />❑ Na
<br />i-AY - intern 1 ,r. row q.j.trr 14 r,!i p/;)�G.):.r4�V1 ,wa,r F,.- b+ry<•+..r rrr r1i.vr +�rrrP rrui��� r7�e r r,. ilry v�r, f'/,hlr( ,SSt'�N �r..le't ix1u<•r.Uamrr
<br />C"lv lc'uum e,230 re rrq-i
<br />Resolution No. 2019-077
<br />Page 13 of 14
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