HomeMy WebLinkAbout2016.09.06_Metzger_Tina_Form 410Statement of Organization
Recipient Committee
Statement Type ® Initial ❑ Amendment
Not yet qualified ❑ or
List I.D. number:
Date qualified as committee Date qualified as committee
(If applicable)
1. Committee Information
NAME OF COMMITTEE
Tina Metzger for Mayor 2016
❑ Termination — See Part 5
List I.D. number:
STREET ADDRESS (NO P.O. BOX)
.
CITY STATE ZIP CODE AREA CODE /PHONE
Morro Bay
MAILING ADDRESS (IF DIFFERENT)
FAX / E -MAIL ADDRESS
Date of Termination
CA 93442 (
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo City of Morro Bay
Date Stamp
RECEIVE
City of Morro ea
Administration
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Doua Riddell
For Official Use Only
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
Morro Bay CA 93442 (
NAME OF ASSISTANT TREASURER, IF ANY
Tina Metzger
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
Morro Bay CA 93442 (
NAME OF PRINCIPAL OFFICER(S)
Heather Vesterfelt
STREETADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE /PHONE
Attach additional information on appropriately labeled continuation sheets.
Morro Bay CA 93442 (
3. Verification
I have used all reasonable diligence in preparing
OR STATE MEASURE PROPONENT
Executed on
DATE
Executed on
DATE
By
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
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