What is Form 410 for?

Form 410 records a recipient committee’s organization details, including its treasurer, principal officers, financial institution, and committee type.

Who completes the recipient committee form?

Committee representatives use the form to provide committee information and complete the verification section, which includes spaces for signatures and dates.

How do I submit Form 410?

The form identifies the City of Calexico City Clerk’s Office for official use but provides no submission method or address. Check the city website for current contact details.

Calexico, CA · Imperial County

No notary required

Form 410 Statement of Organization Recipient Committee

This form records a recipient committee’s organization and identifying details for committees active in Calexico, and is completed by committee representatives.

What this form is

Form 410 records information about a recipient committee, including its name, treasurer, address, principal officers, financial institution, and committee type. It also provides fields for identifying candidates or measures the committee supports or opposes and includes a verification section. The form names the City of Calexico City Clerk’s Office for official use.

Who needs it

Committee representatives completing a statement of organization for a recipient committee active in Calexico use this form to provide committee and verification information.

How to submit it

The form identifies the City of Calexico City Clerk’s Office for official use but gives no submission address or method. Submit it to the City Clerk’s Office; check the city website for current contact details.

About notarization

This document is signed without a notary; its verification is certified under penalty of perjury, and the listed signers sign and date it.

How to submit this form

1
Download Form 410
Download the Statement of Organization Recipient Committee form.
2
Complete Committee Details
Fill in the committee, treasurer, officer, financial institution, and applicable committee-type information.
3
Add Any Continuation Sheets
Attach additional information on appropriately labeled continuation sheets if needed.
4
Sign and Date the Form
Complete the verification section and sign and date the applicable lines.
5
Submit to the City Clerk
The form names the City of Calexico City Clerk’s Office for official use; check the city website for current submission details.

Frequently asked questions

What is Form 410 for?: Form 410 records a recipient committee’s organization details, including its treasurer, principal officers, financial institution, and committee type.
Who completes the recipient committee form?: Committee representatives use the form to provide committee information and complete the verification section, which includes spaces for signatures and dates.
Do I need a notary for Form 410?: No. The form is signed without a notary. Its verification is certified under penalty of perjury, and the listed signers sign and date it.
How do I submit Form 410?: The form identifies the City of Calexico City Clerk’s Office for official use but provides no submission method or address. Check the city website for current contact details.

Need something notarized?

This Form 410 Statement of Organization Recipient Committee doesn’t need a notary — but if you have another Calexico form that does, a commissioned online notary can help.