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HomeMy WebLinkAbout2016.08.17_Davis_Robert_Form 410Statement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or 1. NAME OF COMMITTEE Date qualified as committee Red Davis For City Council 2016 ® Amendment List I.D. number: 1388264 08 15 15 /16 Date qualified as committee (If applicable) ❑ Termination — see Part s List I.D. number: Date of Termination STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE /PHONE Morro Bay CA 93442 ( MAILING ADDRESS (IF DIFFERENT) FAX/ E-MAIL ADDRESS COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE San Luis Obispo City of Morro Bay Attach additional information on appropriately labeled continuation sheets. Date Stamp R E C E I V E EI For Official Use Only City of Morro Bay Administration 2. Treasurer and Other Principal Officers NAME OF TREASURER Gary Havas STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 ( NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE 3. Verification 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 lun�der the laws of the State OR ASSISTANT TREASURER Executed on '10° g7j DATE NG OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov