Persons, organizations, groups, or other entities that raise $2,000 or more in contributions in a calendar year to spend on California elections qualify as recipient committees and must register.

How do I submit the Statement of Organization?

Send the original ink-signed form and $50 payment to the Secretary of State's Political Reform Division. County and city committees also file a copy with the local filing officer who receives their original campaign statements.

What information does Form 410 request?

It requests committee information, treasurer and principal officer details, bank account information, committee type, and verification signatures. Instructions say to complete all applicable sections.

Eureka, CA · Humboldt County

No notary required

Statement of Organization

Recipient committees use this fillable form to register, amend organization information, or report termination to the Secretary of State and, when applicable, a local filing officer.

What this form is

Form 410 is used by persons and organizations that qualify as recipient committees by raising $2,000 or more in contributions in a calendar year for California elections. File an initial statement, an amendment when reported information changes, or a termination statement when the listed termination conditions are met. The form asks for committee, treasurer, officer, bank account, and committee-type information, with verification signatures.

Who needs it

People or organizations that qualify as recipient committees must file this form, and committees with Eureka activity also file a copy with the local filing officer.

How to submit it

Send the original ink-signed form and $50 payment payable to the Secretary of State to the Political Reform Division at 1500 11th Street, Room 495, Sacramento, CA 95814. County and city committees must also file a copy with the local filing officer who receives their original campaign statements.

About notarization

This document is signed without a notary; the treasurer or assistant treasurer and applicable controlling persons sign the verification, then provide the date.

How to submit this form

1
Download The Form
Download the Statement of Organization PDF.
2
Complete Applicable Sections
Enter committee, treasurer, officer, bank account, and committee-type information, and complete the verification.
3
Gather Required Payment
Include the $50 payment payable to the Secretary of State, as directed by the form.
4
Submit To The Filing Officers
Send the original ink-signed form to the Secretary of State's Political Reform Division; county and city committees also file a copy with their local filing officer.

Frequently asked questions

Do I need a notary for the Statement of Organization?: No. The document has no notary block; the treasurer or assistant treasurer and applicable controlling persons sign and date the verification.
Who files Form 410?: Persons, organizations, groups, or other entities that raise $2,000 or more in contributions in a calendar year to spend on California elections qualify as recipient committees and must register.
How do I submit the Statement of Organization?: Send the original ink-signed form and $50 payment to the Secretary of State's Political Reform Division. County and city committees also file a copy with the local filing officer who receives their original campaign statements.
What information does Form 410 request?: It requests committee information, treasurer and principal officer details, bank account information, committee type, and verification signatures. Instructions say to complete all applicable sections.

Need something notarized?

This Statement of Organization doesn’t need a notary — but if you have another Eureka form that does, a commissioned online notary can help.