HomeMy WebLinkAbout2018.07.02_Addis_Dawn_Form 410 AmendmentStatement of Organization
Recipient Committee
Statement Type
❑ Initial
Q Not yet qualified
or
• Date qualified as committee
/ /
® Amendment ❑ Termination — See Part 5
06 / 30 / 2018
Date qualified as committee
Date of termination
City of Morro Bay
JUL 2 2018
City Clerk
For Official Use Only
1. Committee Information
I.D. Number 1406734
(if applicable)
2. Treasurer and Other Principal Officers
NAME OF COMMITTEE
Dawn Addis for City Council 2018
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE ZIP CODE AREA CODE/PHONE
CA 93442 805—
MAILING ADDRESS (IF DIFFERENT)
PO Box 1921 Morro Bay CA 93443-1921
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
dawnaddisforcitycouncil@gmail.com
COUNTY OF DOMICILE
San Luis Obispo
NAME OF TREASURER
Gail Bunting
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE ZIP CODE AREA CODE/PHONE
CA 93442 805
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Morro Bay
Attach additional information on appropriately labeled continuation sheets.
Dawn Addis
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE ZIP CODE AREA CODE/PHONE
CA 93442 805-
3. Verification
I have used all reasonable diligence in preparing this statement and to
penalty of perjury under the laws of the State of California that the for
Executed on 1 (' ll' By
DATE SURER
Executed on 1 i 1 By
DATE TE MEASURE PROPONENT
.nformation contained herein is true and complete. I certify under
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 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov