HomeMy WebLinkAbout2020.02.18_Weiss_John_Form 410Statement of Organization
Recipient Committee
Statement Type 10 Initial
Amendment
Not yet qualified
or
Q Date qualification threshold met I Date qualification threshold met
1. Committee Information I.D. Number
(if applicable)
NAME OF COMMITTEE
John Weiss for Mayor 2020
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
FULL MAILING ADDRESS (IF DIFFERENT)
TDB
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo (Morro Bay
Attach additional information on appropriately labeled continuation sheets.
Date Stamp
❑ Termination — See Part 5
Date of termination
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Dan Costley
STREET ADDRESS (NO P.O. BOX)
City Of Morro Ba'
FED I ?Q2t
City Clerk
1
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICERS)
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 an o-th 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` CGal' ornia that th forego' ru correct.
Executed on 2 /) 0 Z( By
LI
ni ASSISTANT TREASURER
Executed on 2 gy
-DATE gy OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
John Weiss for Mayor 2020
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Pacific Premier Bank
ADDRESS
898 Morro Bay Blvd
AREA CODE/PHONE
805-771-1950
BANK ACCOUNT NUMBER
pending
CITY STATE ZIP CODE
Morro Bay CA 93442
Page 2
I.D. NUMBER
0
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference" is acceptable.
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT
OR HELD
YEAR OF
PARTY
(INCLUDE DISTRICT NUMBER IF
APPLICABLE)
ELECTION
CHECK oNE
Nonpartisan
Partisan
(list political party below)
John Weiss
Mayor for City of Morro Bay
2020
❑✓
❑
Nonpartisan
Partisan
(list political party below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(5) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT N0, OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(5) OFFICE SOUGHT OR HELD OR MEASURE(5) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
John Weiss
Mayor for City of Morro Bay
SUPPORT
❑✓
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov