HomeMy WebLinkAbout2017.08.07_CAL_Form 410 AmendmentStatement of Organization
Recipient Committee
Statement Type ❑ initial ® Amendment ❑ Termination - See Part 5
Q Not yet qualified
or 07 12 2017
0 Date qualified as committee / / ---/ /
Date qualified as committee Date of termination
(If amending to provide this date)
/ /
1. Committee Information
I.D. Number (if applicable)
1396018
NAME OF COMMITTEE
RECE,J'GED
City of Morro Bay
k6-72017
Citit Clerk
2. Treasurer and Other Principal Officers
CALIFORNIA 410
FORM
For Official Use Only
NAME OF TREASURER
Citizens for Affordable Living Scott Lawson
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE ZIP CODE AREA CODE/PHONE
CA 93442 805
MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE
San Luis Obispo
JURISDICTION WHERE COMMITTEE IS ACTIVE
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE ZIP CODE AREA CODE/PHONE
CA 93442 805
NAME OF ASSISTANT TREASURER, IF ANY
Kathleen Quigley
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE ZIP CODE AREA CODE/PHONE
CA 93442 805
NAME OF PRINCIPAL OFFICER(S)
San Luis Obispo / Morro Bay, CA Jeff Heller
Attach additional information on appropriately labeled continuation sheets.
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE ZIP CODE
CA 93442
AREA CODE/PHONE
805
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. l certify under
penalty of perjury under the laws of the State of C
Executed on 7 / /4 / /7
/
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Executed on -7 /I I * /TE1,7
By
and correct.
RER OR ASSISTANT TREASURER
DER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By /
DATE
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (May/2017)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Citizens for Affordable Living
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Rabobank
ADDRESS
251 Harbor St
Controlled Committee
AREA CODE/PHONE
805 7721-1252
CITY
Morro Bay
BANK ACCOUNT NUMBER
623447654
STATE
CA
ZIP CODE
93442
I.D. NUMBER
1396018
• 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."
• 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
Primarily Formed Committee
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF ELECTION
•
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
PARTY
Nonpartisan
Nonpartisan
CHECK ONE
SUPPORT OPPOSE
i
SUPPORT
OPPOSE
FPPC Form 410 (May/2017)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Citizens for Affordable Living
General Purpose Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
10
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
CITY Committee El COUNTY Committee ■ STATE Committee
Citizens Action Committee to monitor management and costs of new sewer plant and City Finances
Sponsored Committee
NAME OF SPONSOR
STREET ADDRESS
List additional sponsors on an attachment.
NO. AND STREET
Small Contributor. Committee
/
Date qualified
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
U:1rei"i verlficatcon, tie treasurer, assistarl
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
This committee has no surplus funds; and
This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519.
Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521 5.
•
•
STATE
I.D. NUMBER
ZIP CODE AREA CODE/PHONE
FPPC Form 410 (May/2017)
FPPC Advice: advice@fppc.ca gov (866/275-3772)
www.fppc ca.gov