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HomeMy WebLinkAbout2016.09.28_Irons_Jamie_Form 410t ¢ f Statement of Organization WWstmp CALIFORNIA Recipient Committee �pC�+ ¢�.-..,_��,,. FORM 410 A'1L..l.+Li:�� _�i_l At- Statement Type 0 initial ❑ Amendment ❑ Termination - See Part 5 in the ffice cif ii -,,i Secretary Of Stat For OfficialU.scOnly Not yol qualified ❑ of List I.D. number: List I.D. number f the N W_' of Callf 0mia RECEIVED u — it a &Yb Bay 08 /2 2016 / /_/ Dale qualified as committee Date qualified as committee Dale of lennination If np,,hcnbF,) 1. Committee InformatZ' 2. Treasurer and Other Prindpal Officers NMIE IRONS FOR MAYOR 2016 DAVID Administration W. SMITH _ JA SIRLE r ADDIII SS (NO P.O. ROx) ST ID L I ADDIUSS (NO P.O. BOX) _ S1ATI /IPCODr AWACODE /PIIONf CITY SIAlf /Ip(nOf ARI A(OnL /1DIONt MORRO BAY CA 98442 ( MAILING AUURI SS (Il DII ( LIIf N1) PO BOX 957, MORRO BAY, CA 93443 IAx /E MAN AT)ORLSS COUNIYOF DOMICIL L SAN LUIS OBISPO ILIRISUIC11ONWIIFILCOMMI +III ISA(IIVI MORRO BAY Attach additional information on appropriately labeled continuation sheets. 01Y S1ATI /IPCODr AWACODE /PIIONf MORRO BAY CA 93442 ( NAME Of ASSISTANT TRT ASURI R,11 ANY JAMIE IRONS sI RE f I APDM S5 (NO P O.IIOx) City SIAM tIPCODI. ARIACODI /I'110Nf MORRO BAY CA 93442 ( NAM[ 01 PRINCIPAL OITICTR(S) JAMIE IRONS WU LF AIrDRTSS (NO P.O. ROx) Lily SIAIE 7IP(ODI AlUACOU1. /14IONI MORRO BAY CA 93442 ( Ve-riflca7hon I have used all reasonable diligence in preparing thi; statement and to the best of my knowledge the information contained herein is true and cornplele. I certify under penalty of perjury under the jaws of the Stale of Califor that the foregoing is true and correct. Executed on 08131/2016 fly - OATI -(✓ CANDInAI I , UR SIATI M( A%IIRt PROPON[ NI Executed on Ily NAI I SIGNAI UILI Of (ONI POI I INC, Of f ICI1101111 IL CANDIDAI I, OR SIAI I MI ASuRt PROPONI N I Executed on Ely IU111 516NAT [INC Of CONI'11011 INC, 0111(11101 IF R. CANDIOAI t, OR SIM f MI AWRI PROPONI Ni FPPC Form 410 (1'an /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov