HomeMy WebLinkAbout2018.08.27_Heller_Jeff_Form 410Statement of Organization
Recipient Committee
Statement Type
❑ Initial
Not yet qualified
or
O Date qualification threshold met
❑ Amendment
Date qualification threshold met
❑ Termination — See Part 5
Date of termination
Date Stamp
RECEIVED
City of Morro Bay
AUG 272018
City Clerk
CALIFORNIA 410
FORM
For official Use Only
1. Committee Information
I.D. Number
(if applicable)
2. Treasurer and Other Principal Officers
NAME OF COMMITTEE
FRIENDS OF HELLER FOR CITY COUNCIL-2018
STREET ADDRESS (NO P.O. BOX)
CITY
MORRO BAY
NAME OF TREASURER
SCOTT LAWSON
STREET ADDRESS (NO P.O. BOX)
CITY
MORRO BAY
STATE ZIP CODE AREA CODE/PHONE
STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
CA 93442 805-
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE
SAN LUIS OBISPO
JURISDICTION WHERE COMMITTEE IS ACTIVE
MORRO BAY
Attach additional information on appropriately labeled continuation sheets.
CA 93442 805-M_
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
JEFFREY R HELLER
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 the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State
Executed on c' A23 , 16 By
S /'TE/ ISTANT TREASURER
Executed on 1/// G•�3 / By
DATE
Executed on By
DATE
Executed on By
DATE
)ATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
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
FRIENDS OF HELLER FOR CITY COUNCIL-2018
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
4. Type of Committee Complete the applicabte •sections.
Controlled Committee
AREA CODE/PHONE
CITY
BANK ACCOUNT NUMBER
STATE
ZIP CODE
• 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
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHECK ONE
JEFFREY
R
HELLER
CITY
-
MORRO
BAY
2018
Nonpartisan
Partisan
(list political party below)
I
COUNCIL
Nonpartisan
Partisan
(list
political
party
below)
I
Primarily Formed Committee.
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)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT
OPPOSE
SUPPORT
OPPOSE
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
CA FORMNiA 410
Page 3
COMMITTEE NAME
FRIENDS OF HELLER FOR CITY COUNCIL-2018
4.;Type of Committee',
General Purpose Committee
Continuedi
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
I.D. NUMBER
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Sponsored Committee
List additional sponsors on an attachment.
NAME OF SPONSOR
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS
NO. AND STREET
CITY
STATE
ZIP CODE AREA CODE/PHONE
Small Contributor Committee
: `Termination Requirements By signingthe verification, thetreasurer, assistant treasurer and/or candidate, officeho(d er, nr proponent certify that all of the following conditions have been met;
• 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.
Date qualified
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov