HomeMy WebLinkAbout2016.09.29_Winholtz_Betty_ Form 460Recipier `ommittee OVER PAGE
i • . '
Campaign-'Statement Stamp
Statement
Cover Page • -
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 7 /J 1.1 /c
through -Cibl� >
1. Type of Recipient Committee: All Committees — Complete Parts 1, z, 3, and 4.
( Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Part 5) 0 Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party /Central Committee (Also Complete Part 7)
3. Committee Information
OMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMM]
LU, &)w t_-r2- roP m a Yo .4? a o/ 4-
I.D. NUMBER
STREETADDRESS (NO P.O. BOX)
h-)oRRa —6m-y C -, 91.3442 (
CITY STATE ZIP CODE AREACODE /PHONE
430 ✓�E_
MAILINGADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE /PHONE
(
OPTIONAL: FAX/ E- MAILADDRESS
RECEIVED
Date of election if applicable: City of Morro Bay Page ) of
(Month, Day, Year) For Official Use Only
%y 8. , A
2. Type of Statement:
9 Preelection Statement ❑ Quarterly Statement
❑ Semi - annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
MAILINGADDRESS
Q`0 R.- 13tF4Z (
/r /A
NAME OF ASSISTANT TREASURER, IF ANY
&
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX/ E- MAILADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the be t of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoin i rue and corre t-
Executed on + r By
Date J
Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
.FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)