ORLY TAITZ - SECRETARY OF STATE ELECTION FILINGS

8/9/2019 ORLY TAITZ - SECRETARY OF STATE ELECTION FILINGS

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Candidate'hltentioh Statement

~ f t i a l H'."I""fA hlformatiori:

NMlE&'Gi'ii'mItlA'TE ,iLW, • ~ i . , ~ 'TitAXff; , ,.4?&l/ii

sS:iC/t;'k,r ."",'

,dlO/'P, ( I W t ! i t ' ~ i ! l

f . ~ ~ ~ ~ ,,& ai::&pt the voluntary' e X p ~ n d n u i e ceillngfci:rtheeieclron stateciabovs.

b I do riOt aeceptihelloJUritaiyexpBhdibiraceUing forlheelectii:JnstatedaboVi:L

Amendment ", , ' " , ,, ,,, ,', ""',"" , ' , , ' "', '" "', " , ' ', ' , ' , " ' , "" , ' ,o hlid not exceed 'Ihe e ) < p e n ~ i l o r e c e i i i r i g l n t h 9 primary Dr speclai electiOn held ·tin: ~ ~ ~ and laccej;t the VrilutitalY fuCperidiluteeeRihg for lhe

g e n e r ~ or special ruo"riff electtoil.

r M . ! r I < ¥ ~ tJ On ~ - - - - J ~ ' 1 r o r i t r I D u t e d ' p ~ r i r o n B 1 f u n d s i n excess Of Iheelij)tmdilure caiMng fof tfiti aleclitinstaioo above.

"." . .. : : - '.

3. VerIfication:icerlifyuniler ipenally of ptlrjUryodflder Ule I ~ ' cif U\e Sfaie'of CaUfomiathat t h e . f c i t ~ o i i l .is' arid cori:eCt ,

E ; ~ r e d O t 1 ( } 3 ? " .. [)I"".IQ_.n, S l g r t a t t i ~ """ , , ~ ~ - ~ • . .

(moniI;. d;;r.

FPPC FDNfj501, (janIi3ryTo5)

FPPC'Toll<Freettelpllne:uOOiASk#ppc( 8 6 6 I 2 t 5 ~ 3 m )



March 4,2010

ORLYTAITZ

SECRETARY

OF

STATE

1500 1ph Street, Room 495

Sacramento, CA 95814

(916) 653-6224

(916) 653- 504 5 (FAX)

29839 SANTA MARGARITA PKWY SUITE 100

RANCHO SANTA MARGARITA CA 92688

Dear Filer:

POLITICAL REFORM DIVISION

P.O. Box 1467

Sacramento, CA 95812-1467wwvv. sS.cagov (Web Site)

Thank you for filing your Candidate Intention Statement (Form 501) received on

March 3,2010. As required by the Political Reform Act, we have reviewed your

form to determine whether it conforms on its face with disclosure requirements.

REVIEW OF THE CANDIDATE INTENTION STATEMENT

We have noted the following to assist you in complying with the requirements of

the law:

SECTION 1, CANDIDATE INFORMATION

Please provide a street address or a mailing address.

SECTION 3, VERIFICATION



Candidate Intention Statement Type or Print in Ink.

.jCheck One: :+ial A m e n d m ~ n t (Explain) __ - : - - ' -_________

1. Candidate Information:

DAYTIME TELEPHONE NUMBER

STREET ADDRESS . I '. L9J? 3 C; Sh./l{<C-

DCity D County D Multi-County:(Name ofMulti-County Jurisdiction)

2. State Candidate Expenditure Limit Statement:(CaIPERS candidates, judges, j udicial candidates, and candidates for local offices are not required to complete Part 2,)

:20/ J Primary/general' election(Yearof Election) .

- - : : - , : - - ' " = ' ~ - : - Speciallrunoff election(yearofElection) .

,(CheJonebox) .

. 91' accept the voluntary expenditure ceiling for the election ,stated above.

D I do not accept the voluntary expenditure ceiling for the election stated above. '

Amendment:

PMAR 192010

'h 3'("'fDEBF<ABOWE

(year of Election)

CANDIDATE.INTENTIONSTA'VEMENT

, CALIFORNIA 501FORM

For Official Use Only

11 ?L.-.- c? r q

o I did not exceed the expenditure ceiling in the primary or special election held on: --1--1__ and I accept the volunta!y expenditure ceiling for thegeneral or special run-off election.

(Mark if applicable)

D On --1--1_,_,1 contributed personal funds in excess of the expenditure ceiling for the election stated above.

3. Verification:

I certify under p ~ n a l t y of perjury under the laws of the State Qf California that the foregoing is t r ~ e nd correct. '

Executed on {23 V / (0 , Signaturemonth, day, year) , ate)

FPPC'Form 501 (January/05)

FPPC Toll-Free Helpline: 866/ASK-FPPC ( 8 6 6 / 2 7 5 - ~ ~ l ~ ~ , l . )

' . ....-/-



3.

r ' '

p i e n t ~ J m m i t t e e Statement

Type or print In Ink.

~ t a t e m ~ f . l t covei'spei'iod ,

from __________

th

Date of election If applicable:(Mohth, Day, Year)

BRA BOWENcretary of State

All Committees - Corrtplete:PaIts1,'2, a, and 4.,-

, h f f i N ' h ~ . I ; " e r , Candidate Controlled Committee

QStateCandidate ,Electipn Committeeb Recall" ','(AlSo Complete Part i)

General Purpose Comll;litteeO ' s p o n s b r ~ d , ' , __

o SmaliCoiitributorGommittee

Q,p'olitical P a r t y / C e ~ t r a l Committe,e

o 'Primarily F c i r i r i ~ ( ( B a l l o t M e a s i J r e Committee ,',-

o Controlled

o Sponsored"(Also c o m ~ ' : l e p a r t 6 )

D PrimartlyFoniled:CandiCratel

Officeho!d,erCo,mmiJ:tee "(Also Comp/a!e Part 7j

:,'

o Termination Statement(Also file a Form 410 Termination)

o Amendment (Explain below)

o ,Quart erly _Statement

o Special Odd-Year

o Supplemental PreelectionStatement - Attach Form 495

, '",- . " . : . . - - : - . . : . . . . , . . : . - - - - - - - : - - - ' - - - - - ' - - ~ - - - - - - - - : - -

Treasurer{s)

NAMEOFtREAOrfy - ~ , ~ MAILING ADDRESS V f

g qr.3? S N ~ ; j k r 7 ' , j ~ / U:Z K /00

CITY r , ' ) ~ l A # 2 : I P CODE . / CODE/PHONE, # - Q . . / i ~ ~ < 2 ~ ~ ? 4 ; c r c ? -NAME OF ASSISTANT TREASURER, IF ANY v '

~ ? J 1 7 / ~ M ~ A 7 . I L ~ I N ~ G ~ A ~ D ~ D ~ R ~ E ~ S ~ S ~ - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~

-CITY 'STATE ZIP CODE AREA CODE/PHONE

OPTIONAL: FAX / E-MAIL ADDRESS

QV, ._ ,U ; 'CU all reasonabie diligence in preparing and 'reviewing this sta-tement and:to the bestofmy knOwledge the information contained herein and in the attached schedules is true and complete: I certifypenalty of peljuryunder he laws ofthe State of California th at he foregoing is true and correct. '

'I ,

IExecuted on

",V.k--·/6 ;-0' . By

Date - - - : - - - - - - - - - - - - - - ; ; ; s i ; : : : g n : : a ~ t u = r e : - : o ~ n f T ; : : r e : : a = s u o : : t o = r , . A s = s : ; : i s = t a : : . n l " . T : : : : r e a = s : : : u r e = - r ----------------0' :-- . , / / /0 ~ - '

Executed 'on__ . ! . . _ . : : : . . . . . . . , , . . . , . , . J - ~ / . . . . , - : : t l : 7 : : . - . - . - : _ _ _ _ _ _ _ By __ _ = = " - - = = " - - . : : - ; ; , . - , . - . - . - - " , . . . . - , , . . , . . . , , . . . . < . . . . . = ~ ~ V : : : , ; . . . ; : : , . " . . ~ . . : _ ~ : : : : . . . - . - - = _ ".-:-.:,.",..---..,,--_____- Date Signalure of Conlrolfing Officeholder, Candidate.SiaieiJi7aSlim'PrOlXlnenl or Responsible Officer ofSponsor

__ Executed on _ ~ , - - ____ =,- ,-_-- ,.,- ; .__ ...... :;:.."-~ ", 'Date

EXecuied on ____ .:..-...:..-.__ - - - - - - ~ - - - - -Date

By __________ ~ ~ - - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - - ~ - - - - - - - - ~ ~ , Signalure of Conlrolfing Officeholder. Candidale, Slate Measure Proponent

By __________ - , ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - - - - - - - - ~ Slgnalure of Controlling Officeholder, Candidale, Stale Measure ProponentFPP,C Form 460 (January/OS)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)State of California



May 04,2010

LYSARAY

SECRETARY

OF

STATE

1500 11th Street. Room 495

Sacramento, C.i... 95814

(916) 653-6224(916) 653-5045 (F .~ J 0

TAITZ FOR SECRETARY OF STATE 2010, ORLY,ID# 1326891

29838 S MARGARITA PKWY, #100

RANCHO SANTA MARGARITA CA 92688

Dear Filer:

POLITICAL REFORIVI DIVISION

P.O. Box 1467

Sacramento, CA. 95812-1467·w·T.,;'i1'\v.ss.cagov (Vileb Site)

Thank you for filing your Form 460, received on March 19,2010. As required by the Political

Reform Act, we have reviewed your statement to determine whether it conforms on its face with

disclosure requirements.

We have noted the following to assist you in complying with the requirements of the law:

Cover Page - Committee Information, Part 3

The identification number of your committee was omitted. Our records reflect that your

committee was assigned 1326891 'as your committee identification number. Please use this

number on all future statements.

Reporting Period

The period covered on your statement was omitted. Please complete the required period. The



Summary Page and any relevant schedules reflecting your campaign activities.

Form 460 must be completed and filed to reflect any changes to your original campaign

statement. Copies of your amendment should be filed with all offices that received copies of the

statement originally filed. Please reply within fifteen days of this request.

If you have any questions, please call Cindy Pon at (916) 653-3234.

Sincerely,

TONY MILLER, ChiefPolitical Reform Division

- ~ . ~ ~ - - - . - - ~ . _



. . - . - ~ - . - - - - - ~ ~ ~ - - - - - - - - - - - - - - - - - - - - - -

staemen; of O r g a n i z a t i o ~ :=0"Recipient Committee

Type or print n inkSTA1EMENT OF ORGANIZA lON

DaleSlamp

, CALIFORNIA 41 0REC IVED AND FILED ' FORM

Statement Type Initial o Amendment

List 1.0. number:

• the 0 Ic e of the Secretary ~ f Stato Termination - See pdll5' of the State of Califorma For Official Use Only

Not yet qualified I!l or

<-

Date qualified as committee

#----------------

Date qualified as committee(If applicable)

List 1.0. number:

#----------------

Date of Termination

APR-20 2010

EBRA'eOWENcretary of State

1. Committee Information Treasurer and Other Principal OfficersNAME OF TREASURERAME OF COMMITTEE

Orly Tai tz fo r Secre ta ry o f Sta te 2010

STREET ADDRESS (NO P.O, BOX)

29838 S Margar i ta Pkwy #100

CITY

Rancho St a Margar i ta, CA 92688

MAILING ADDRESS (IF DIFFERENT)


STATE

orly. tai tz@grnai l .com

ZIP CODE AREA CODE/PHONE

Lysa Ray

STREET ADDRESS

603 E Alton Ave Sui te H

CITY STATE ZIP CODE

Santa Ana, CA 92705

NAME OF ASSISTANTTREASURER, IF ANY

'STREET ADDRESS

CITY STATE ZIP CODE

NAME AND POSITION OF OTHER PRINCIFJo\L OFFICER(S), IF APPLICABLE

AREA CODE/PHONE

714-540-2295

AREA CODE/PHONE

COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENTTHAN COUNTY OF DOMICILE

MAILING ADDRESS

Orange Sta te

CITY STATE ZIP CODE AREA CODE/PHONE

Attach additional nformation on appropriately abeledcontinuation sheets,

3. VerificationI have used all reasonable diligence in preparing this statement and to the best of my knowled e the information contained herein is true and complete. I certify under penalty of

perjury under the laws of the Slate of ralifornia that the foregoing is true and correct.

Executed on - ~ , 1 0 i {) E¥ - - - - - + - + - - - t , t - - f f : - ~ " b " : ~ ~ ~ = = ~ = = = : : ; : ; - - - - - - - - - -,*,TE I ~

Executed on ___ O _ - I - - r - , ( - - ; : ( ~ ___O__DATE

Executed on _____________ ."..,,=-_____________OATE

Executed on ______________--------------DATE

www.netfile.com

E ¥ - - - - - - - - - - = ~ ~ ~ ~ ~ ~ = = ~ = = ~ = = ~ ~ ~ ~ ~ ~ ~ ~ ~ - - - - - - - - IGNArURE OF CONTROLLING OFFICEHOLDER, CANDIDArE, OR STATE MEASURE PROPONENT

E ¥ - - - - - - - - ~ _ = ~ ~ ~ ~ ~ r r . = ~ ~ ~ ~ = r r . ~ ~ ~ ~ ~ ~ ~ ~ ~ - - - - - - - - - - IGNArURE OF CONTROLLING OFFICEHOLDER, CANDIDArE, OR STATE MEASURE PROPONENT

FPPC Form 410 (June/09)FPPC Toll-Free Helpline: 866/ASK-FPPC



Statement of Organization

Recipient Committee

INSTRUCTIONS ON REVERSE

Orly Taitz fo r secretary of State 2010

4. Type of Committee Complete the applicable sections.

Controlled Committee

• 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 his committee acts join tly with another controlled committee, list the name and identification number of the other controlled committee.

NAME OF CANDIDArE/OFFICEHOLDERlSTATE MEASURE PROPONENT

Orly Taitz

ELECTIVE OFFICE SOUGHT OR HELD(INCLUDE DISTRICT NUMBER IF APPLICABLE)

secretary of State

Statewide

YEAR OF ELECTION

2010

• List the financial institution where the campaign bank account s located (controlled "candidate election" committees only)

NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER

ADDRESS CITY STATE ZIP CODE

Primarily formed 10 support or oppose specific candidales or measur es 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

(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)

PARTY

o Non-Partisan

Republican Party

o Non-Partisan

CHECK ONE

I'""·"'UPPORT OPPOSE

www.netfile.com

FPPC Form 410 (June/OS)FPPC TolI·Free Helpline: 866/ASK-FPPC



statement of OrganizationRecipient Committee


COMMITTEE NAME

or ly Tai tz fo r Secre ta ry o f S t a t e 2010

4. Type of Committee (Continued)

General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:

o CITY Committee 0 CQUNTYCornmittee 0 STATECommittee

PROVIDE BRIEF DESCRIPTION OF ACTIVITY

List additional sponsors on an attachment.

NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR

STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE

STATEMENf OF ORGANIZATION-------- - -- - - - -

; CALIFORNIA 41 0FORM

LD.NUMBER

SmallContri6i.iiorCommittee o __ ~ / , _ - - - - - , , - J I Date qualified

Check box and provide the date this committee qualified as a small contributor committee. If he committee qualified as a smallcontributor committee on January 1,2001, enter 1/1/01. .

5. Term nat i0 n Req u rements Bysigning the verification, the treasurer, assistanttreasurer and/or candidate, officeholder, or proponent certify thatall ofthe following conditions have been met:

• This committee has ceased to receive contributions and make expenditures;

• This committee does not anticipate receiving contributions or making expenditures in the future;

• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;

• This committee has no surplus funds; and

• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.

-- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to

Government Code Section 89519.

-- Additional filing obligations will be incurred if, after terminating, the committee receives or spends any funds, or receives the forgiveness of a loan,

repayments of loans made to others, or any other receipts.

www.netfile.com





Recipient Committee

Statement Type IE) Initial

Nol yel c:(ualifled or

Type or print in nk

o Amendment

lJsllD. number

#---------------

o Termination - See Part 5

Lisll.D. numbe-r

# -----------~ ~ - - - - ~ ~ - - - - ~ ~ - - - -

IlrwJ=IoI

STATEMENT OF ORGANIZATION------------------------. CAUFORNIA 41 0I FORM

Dole Slamp

For Oll,cial Use Only

- 1 - . - C - o - m - m - - i t - t - e - e - I - n - f o - r - m - a - t - i o - n - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2 - . ~ T - T e - a - S - u - r - e - r - a - n - d - - O - t h ~ e - r - p - - r i - n - c - i p - a - I - O - f f - i - c - e - r s ~ - - - - - - - - - - - - - - ~ \ NA.ME OF COMMITTEE N A I ~ E 01' TREASURER

Dale q u a ~ n e d as committee Datequallfied as committee Date 0% TerminatiOn

z ~ II~ I < : ; S

o r l y T a i t z for Secretary of Sta te 2010

STREET ADDRESS (NO P.O. BOX)

298J& S Har gar i t a Pkwy noo

CITY STATE ZIP CODE.

Lyse. Ra y

STREET ADDRESS

60 l B h l t a n A<re Suit.e Po

CITY

Sa n t a Ana, . CA 9270S

AREA CODEJPHONE w..lJ1E OF ASSISTANTTREASURER. IFANY

STATE ZIP CODE AREA CODE/PHONE

71 4 -5- \0-2295

u

~ I §ilI1

~ I C>

g/"'"

:1r;;j0>

IN

C>

C'l

I!

Rancho S ta M a r g a r i t a , CA 92688 714-540 -J295

MAILING ADDRE:SS (IF DIFFERENT)

opnONAl : fA X 1 E-MAIL ADDRESS

o r l y . t a i t z @ g m a i l . c c ~ COUNTY Of DOMICILE COUNTY WHERE C D I . I ~ I T T E E IS ACTIVE IF DIFFERENT

THAN COUNTY DF DOMICILE

Orange Sta le

ANacJJ additional infomJaoon 011 appropriately abeled continuanon sheels.

3. VerificationI have used all reasonable diligence in preparing this statement and to lhe best of my kno

perjury under the laws of the te of Cali rnia thaI the foregoing is true and correct.

Exeonedon ________ ~ - 4 ~ , ~ ~ ~ ~ ~ ~ ~ C J ~ - - __Execuledon Bt

DATE

Exec.utedonATE

Exe.culed on BtO,",TE

wVlw.netfile.com

STREET ADDRESS

CITY SlATE ZIP CODE AREA CODE/PHONE

NAME ANO POS ITION OF OTHER PRINCIWo.L DFFICER{S). If APPLICABLE.

MAILING ADDRESS

CITY STATE ZIP CODE AREA CODEIPHONE

ed herein is true and complete. I certify under penall y of

SIGN,qURE OF COmROLUIIY.; OFFlCEH:JlInR. C A N ( j O ~ E . DR S ~ , q E l " E A S L ~ E PROPONENT

S l G ~ R E os: CONfROlUNG CFFIa:.liOLDER. C A ~ I 0 1 o . < J E . OR STAIE b.1EASURE PRcPCt-I,EI-lT

S I G ~ L ~ E OF OOHTRQLlIHG OFFICEt'D-OER. CA>:OID."1E CR sr.4,TE MEASUfiEPROPONENT

FPPC Form 410 (JuneJ09)FPPC Toll·Free Helpline: 866/ASK-FPPC



S t ~ . t _ ~ m . ~ - ; : - n t of Organization nI - - - ; ) Type or print n ink

., Recipient Committee C vO REin the

Statement Type D Initial [ill Amendment o Termination - See Part 5

Not yet qualified 0 orList 1.0. number: List 1.0., number: APR 3 0 2.010

EBAABO\NENecretary of state

#_-- - - - -~ 0 4 I I

Date qualified as committee

1. Committee Information

NAME OF COMMITIEE

Orly Tai tz fo r Secre ta ry of Sta te 2010


2983q S Margar i ta Pkwy #100

CITY

Rancho Sta Margar i ta, CA 92688

MAILING ADDRESS (IF DIFFERENT)


STATE

orly. tai tz@gmail .com


ZIP CODE AREA CODE/PHONE

949-683-5411

COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENTTHAN COUNTY OF DOMICILE

Orange Sta te

Attach additional nformation on appropriately abeled continuation sheets.

3. Verification

Date ofTermination

_2. Treasurer and Other Principal Officers

NAME OF TREASURER

Lysa Ray

STREET ADDRESS

603 E Alton Ave Sui te H

CITY STATE ZIP CODE

Santa Ana, CA 92705


STREET ADDRESS

CITY STATE ZIP CODE

NAME AND POSITION OF OTHER PRINCIFl\L OFFICER(S), IF APPLICABLE

MAILING ADDRESS

CITY STATE ZIP CODE

AREA CODE/PHONE

714-540-2295

AREA CODE/PHONE

AREA CODE/PHONE

I have used all reasonable diligence in preparing this statement and to the best of my knowledge th

perjury under the laws? iff~ t e of alifornia that the foregoing is true and correct.

in is true and complete. I certify under penalty of

Executed on II; S I a By - - - - - - - - ' = , . £ . . . - - - ' : : / . , : . " " = ~ ~ - = Z O : - : : : : " " = = - : : ; ; ~ . = " ' " ' " " = = = : : = : _ ; : : = : _ : = _ - - - - - - - - - - -DATE

Executed onDATE

Executed onDATE

Executed onDATE

www.netfiJe.com

By

By

By

SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT

SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT

FPPC Form 410 (JuneJ09)FPPC Toll-Free Helplin e: 866JASK-FPPC



S t . a t ~ ~ e n t of Organization

R;icipient Committee


2 of 3

1.0. NUMBER

Orly Tai tz fo r Secre ta ry o f S t a t e 2010


• l ist the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, anddistrict number, if any, and the year of the election


• If this committee acts jointly with a nother controlled committee, Iistthe name and identification number of the other controlled committee.

NAME OF CANDIDArE/OFFICEHOLDER/STATE MEASURE PROPONENTELECTIVE OFFICE SOUGHT OR HELD

(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION

Secre ta ry of Sta te

Orly Tai tz Statewide 2010

• Listt he financial institution where the campaign bank account is located (controlled "candidate election" committees only)

-71 4 973-8495an k of America

AREA CODE/PHONE BANK ACCOUNT NUMBER

\ME OF FINANCIAL INSTITUTION


3730 S B r i s t o l S t

Santa Ana CA

I rimarily Formed Committee 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 SOUGHTOR HELD OR MEASURE(S) JURISDICTION


PARTY

o Non-Partisan

Republican Par ty

o Non-Partisan

CHECK ONE

I""'0"'

SUPPORT

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S:tatEfnent of OrganizationRecipient Committee


COMMITIEE NAME

Orly Tai tz fo r Secre ta ry of S t a t e 2010


I General Purpose Committee Not formed to support or oppose specific candidates or mea-sures in a single election. Check only one box:

o CITY Committee 0 CQUNTYCommittee 0 STATECommittee


. . List additional sponsors on an attachment.

NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR


STA 1Bv1ENT OF ORGANIZATION

CALIFORNIA 410FORM

I.D.NUMBER

o - - - - - - ,0- ' ( , - - - - ' (Date qualified

Check box and provide the date this committee qualified as a small contributor committee. If he committee qualified as a smallcontributor committee on January 1,2001, enter 1/1/01.

5. Term ination Requ irements By signing the verification, the treasurer, assistantlreasurer and/or candidate, officeholder, or proponent certify that all of he following conditions have been met:


• This committee does not anticipate receiving contributions or making expenditures in the future;


-. This committee has no surplus funds; and

• This committee has filed all campaigh statements required by the Political Reform Act disclosing all reportable transactions.

-- There are restrictions o'n the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to


-- Additional filing obligations will be incurred if, after terminating, the committee receives or spends any funds, or receives the forgiveness of a loan,

repayments of loans made to others, or any other receipts.

www.netfile.com

FPPC Form 410 (JuneI09)

FPPC Toll-Free Helpline: 8661ASK-FPPC



S t ~ t ~ ~ e r t of O r ~ a n i z a t i o n t7Type or print n ink

STATI:MENT OF ORGANIZATIONr - - - ~ ~ - - - . ~ ~ ~ RecIpient Committee

statement Type 0 Initial C' Amendment

N t t I'fi d 0 LIst 1.0. number:

D' Termination - See

List 1.0. number:

DArJ) FILEDof the Sec ~ : 3 r y of StateState of ( iifomia

ForOfficial Use Only

o ye qua I Ie or

# \ ~ ' d - J l ~ , c } 1 #_------

.Date qualif ied as committee

1. Committee Information

NAME OF COMMITIEE

Orly Tai tz fo r Secre ta ry of Sta te 2010


29838 S Margar i ta Pkwy #100

CITY

Rancho S ta Margar i ta,CA

92688MAILING ADDRESS (IF DIFFERENT)


STATE

orly. tai tz@gmail .com

04/23/2010I I


ZIPGODE AREA CODE/PHONE

949-683-5411

COUNTY OF DOMICILE COUNTY WHERE COMMITIEE IS ACTIVE IF DIFFERENTTHAN COUNTY OF DOMICILE

Orange State

Attach additional nformation on appropriately abeled continuation sheets.

3. Verification

1

Date ofTermination

cersNAME OF TREASURER

Lysa Ray

STREET ADDRESS

603 E Alton Ave su i t e H


Santa Ana, CA 92705 714-540-2295


STREET ADDRESS


NAME AND POSITION OF OTHER PRINCIFl\L OFFICER(S), IF APPLICABLE

MAILING ADDRESS


I have used all reasonable diligence in preparing this statement and to the best of my knowled ed herein is true and complete. I certify underpenalty of

perjury u.nder the laws of(thr State 01 California that the foregoing is true and correct.

Executed on vt :J., I 0 - - - - - - - + - + - + - + ! - l ~ ~ " " = ~ = = = " . ; : ; = - - = = : : : _ . , _ : : : 5 = : : : : ; _ , , = = " ' " " " ' - ~ - : : _ . __________DATE

Executed onDATE

Executed onDATE

Executed on

DATE

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SIGNI'JURE OF CONTROLLING OFFICEHOLDER, CANDIDI'JE. OR STATE MEASURE PROPONENT

SIGNI'JURE OF CONTROLLING O FFICEHOLDER. CANDIDI'JE, OR STATE MEASURE PROPONENT


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~ t a t e m e n t of Organization

Recipient Committee


NAME

Orly Taitz for secre tary of State 2010


I Controlled Committee

• 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.


• If his committee acts joint ly with another controlled committee, list the name and identification number of the other controlled committee.

NAME OF CANOIDArE/OFFICEHOLDERISTATE MEASURE PROPONENT

Orly Taitz

ELECTIVE OFFICE SOUGHT OR HELD(INCLUDE DISTRICT NUMBER IF APPLICABLE)

Secretary of States ta tewide

YEAR OF ELECTION

2010

• List the financial institution where the campaign bank account s located (controlled "candidate election" committees only)

NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER

Bank of America 714-973-8495


3730 S B r i s to l St

Santa Ana CA

I rimarily Formed Committee Primarily formed to support or oppose specific candid ates or measures in a single election. List below:

CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)CANDIDATE(S) O FFICE SOUGHT OR HELD OR MEASURE(S) JURISDI CTION


PARTY

o Non-Partisan

Republican Party

o Non-Partisan

CHECK ONE

I"'''''SUPPORT

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FPPC Form 410 (June/09)

FPPC Toll-Free Helpline: 866/ASK-FPPC




Recipient Committee


NAMEOrly Tai tz fo r Secre ta ry of Sta te 2010


; General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:

o CITY Committee 0 CQUNTYCommittee 0 STATECommittee


List additional sponsors on an attachment.

. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR


ISmall Contributor Committeeo ----:::-",-:------::c="

Date qualifiedCheck box and provide the date this committee qualified as a small contributor committee. If he committee qualified as a smallcontributor committee on January 1, 2001, enter 1/1/01.

5. Term in ati0 n Re qui rem e nts By signing the verification, the reasurer, assistant treasurer andlor candidate, officeholder, or proponent certify that all of he following conditions have been met:


• This committee does not anticipate receiving contributions or ~ a k i n g expenditures in the future;


• This committee has no surplus funds; and

• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.

-- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to


-- Additional filing obligations will be incurred if, after terminating, the committee receives or spends any funds, or receives the forgiveness of a loan,repayments of loans made to others, or any other receipts.

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FPPC Form 410 (JuneI09)FPPC Toll-Free Helpline: 866/ASK-FPPC

ORLY TAITZ - SECRETARY OF STATE ELECTION FILINGS

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