HomeMy WebLinkAbout2020.07.09_Williams-Mahan_Melanie_Form 410 TerminationStatement of Organization
Recipient Committee
Statement Type ❑ Initial ❑ Amendment
Q Not yet qualified
or
Date qualification threshold met 1 Date qualification threshold met
L Committee Information I I.D. Number 1425213
(if applicable)
Will E - MiananForutyCounci12020
STREETADDRESS(NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
FULL MAILING ADDRESS (IF DIFFERENT)
P.O, Box 1704, Morro Bay, CA., 93443
EMAIL ADDRESS (REQUIRED) /FAX (OPTIONAL)
COUNTY OF DOMICILE
San Luis Obispo
JURISDICTION WHERE COMMITTEE IS ACTIVE
Morro Bay, CA
Attach additional information on appropriately labeled continuation sheets.
0 Termination — See Part 5
Date of termination
06 29 2020
Date Stamp
RECEIVED
city of Morro Bay
2020
Clty Clerk
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Kristen Headland
STREET ADDRESS (NO P,O. BOX)
For Official Use Only
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 cation
I have used all 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.
2DZ D Lg
Executed on D to •7�9 '
DATE
Executed on •' 2 '
DATE
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
gy
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER,
CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/2753772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
` iN am"sVahanForCityCounci12020
• All committees must list the financial institution where the campaign our account is located.
NAME OF FINANCIAL INSTITUTION
Merchanics
ADDRESS
P.O. BOX 6010
Controlled Committee
AREA CODE/PHONE
800-772-1252
CITY
Santa Maria
STATE ZIP CODE
CA 93456-6010
Page 2
I.D. NUMBER
1425213
• 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
Nonpartisan
Partisan
(list political party below)
Melanie Williams Mahan
City Council
2020
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)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S)1URISDICTION
(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 Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
(Continued)
. General ..III• ICommittee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
�J CITY Committee ❑ COUNTY Committee Q STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Sponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR
ADDRESS
NO. AND STREET
Small Contributor Committee �
CITY
OR AFFILIATION OF SPONSOR
STATE 21P CODE
I
1425210
AREA CODE/PHONE
ri'�rminBtiOn Requirements ey signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certifythat all of the following conditions
• 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.
0
-- 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 Forrn 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
wvrw.fppc.ca.gov