HomeMy WebLinkAbout2021.01.25_Addis_Dawn_Form 410Statement of Organization
Date Stamp
CALIFORNIA
Recipient Committee
RECEIVED
'
• -
Statement Type ❑ Initial ®Amendment El
Termination —See Part 5
City of Morro Bay
For O
Official Use Only
Q Not yet qualified
or
0 Date qualification threshold met Date qualification threshold met
Date of termination
.1 0is —/A0 12018
City Clerk
Committee1. I.D. Number 1406734
2. Treasurer and Other
PrincipalOfficers
1 a Ircable
NAME OF COMMITTEE
NAME OF TREASURER
Friends of Dawn Addis City Counci12022
Barbara Spagnola
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O.BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Morro Bay
CA
93442
CITY STATE ZIP CODE AREACODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Morro Bay CA 93442
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
dawnaddisforcitycouncil@gmail.com
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
San Luis Obispo
Morro Bay
Dawn Addis
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY
STATE
ZIPCODE
AREACODE/PHONE
Morro Bay
CA
93442
3. Verification
I have used all reasonable diligence in preparing this statement and to the est of
my
knowledge the information
contained herein is true
and complete. I certifv under
penalty of perjury under the laws of the
Executed on 1/23/2021
DATE
Executed on 1/23/2021
DATE
Executed on
DATE
Executed on
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: adviceCcDfppc.Ca.goy (866/275=3772)
www.fppc.ca.gov