HomeMy WebLinkAbout2020.02.14_Williams-Mahan_Melanie_Form 410Statement of Organization
Recipient Committee
Statement Type 0 Initial
q z S 113
❑ Amendment
Not yel qualified
or
Date qualification threshold met I Date qualification threshold met
1. Committee information I I.D. Numbe
(If applicable)
Wig amsl`v�a ict" Ul CI yCounci12020
STREET ADDRESS (NO P.O, 60X)
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FA%(OPTIONAL)
i � ur uumwuc
San Luis Obispo
Morro Bay, CA
Attach additional information on appropriately labeled continuation sheets,
Date Stamp _
R ��/r-� p•.if� t
❑ Termination — See Part So ih . 5, . , �ty°&f'Wf$i(8ay
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Date of termination FEB 14 2t;
—/-1 City Clerk
2. Treasurer and Other Principal Officers
VAME OF TREASURER
Kristen Headland
STREET ADDRESS (NO P.O. DOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
NAME OF ASSISTANT TREASURER, IF ANY
Barry Branin
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
NAME OF PRINCIPAL OFFICER(S)
Melanie Williams Mahan
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
3. Veri cafion
I have used ail reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the foregoing is true and correct,
Executed on a i — &�i Z D 2 .By
DATE
Executed on Fn 1 i b 2By
DATE
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(August/2018)
FPPC Advice, advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
`Wi1liamNs`Mahan ForCityCouncil2020
• All committees must list the financial institution where the campaign bank account is located.
NAME Of FINANCIAL INSTITUTION
ADDRESS
4. Type of Committee Complete the applicable sections.
AREA CODE/PHONE
CITY
STATE
ZIP CODE
NUMBER
• 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT
OR HELD
YEAR OF
PARTY
(INCLUDE DISTRICT NUMBER IF
APPLICABLE)
ELECTION
CHECK ONE
Melanie Williams -Mahan
City Council
2020
Nonpartisan
Pan
(list political party below)
Li
Nonpartisan
Partisan
(list political party below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below;
CANDIDATES) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO, OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME, (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK oNE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of OrganizationCALIFORNIA'
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Page 3
1 ITTEE WE hanForCityCounci12020 I.D. NUMBER
4. Type of Committee (Continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
0 CITY Committee ❑ COUNTY Committee ❑ STATE Committee
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 AREA CODE/PHONE
Date qualified
5. Termination Requirements By signing the verlHcation, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the 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 abiliXy 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.
-- leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov