HomeMy WebLinkAbout2016.08.01_Davis_Robert_Form 410Statement of Organization
Recipient Committee
Statement Type ❑ Initial ❑ Amendment ❑ Termination —see Part 5
Not yet qualified Q or List I.D. number: List I.D. number:
Date Stamp
RECEIVED For Official Use Only
City of Morro Bay
Date qualified as committee Date qualified as committee Date of Termination Administration
(If applicable)
1. Committee Information
NAME OF COMMITTEE
Red Davis For City Council 2016
CITY STATE ZIP CODE AREA CODE /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.
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 the laws of the State of California that the fore !::� tr a and correct.
Executed on 0��30 20t� By
DATE
NG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
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