HomeMy WebLinkAbout2018.09.04_Winholtz_Betty_Form 410Statement of Organization
Recipient Committee
Statement Type
® Initial
Not yet qualified
or
Q Date qualification threshold met
CommitteeInforma
NAME OF COMMITTEE
❑ Amendment
Date qualification threshold met
Winholtz for City Council 2018
I.D. Number
(if applicable)
/ /
❑ Termination — See Part 5
Date of termination
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
Date Stamp
RECEIVED
City of Morro Bay
SEP - 4 2018
City Clerk
as ,irer andl0tber Prtncipal, Officers
NAME OF TREASURER
James Warner
CALIFORNIA ' Q
FORM
For Official Use Only
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE ZIP CODE AREA CODE/PHONE
CA 93442 80�
STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
CA 93442 805 N/A
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE
San Luis Obispo
JURISDICTION WHERE COMMITTEE 15 ACTIVE
City of Morro Bay
Attach additional information on appropriately labeled continuation sheets.
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(5)
N/A
STREET ADDRESS (NO P.O. BOX) .
CITY
STATE ZIP CODE
AREA CODE/PHONE
3 Verifcati+bri
have used all reasonable diligence in preparing this statement
penalty of perjury under the laws of the Stat
Executed on September 2, 2018 By
DATE
Executed on September 2, 2018 By
DATE
Executed on
and to the best of my knowledge the information contained herein is true and complete. I certify under
ANT TREASURER
rE, OR STATE MEASURE PROPONENT
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 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
NSTRUCTIONS ON REVERSE
COMMITTEE NAME
o All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
IAREA CODE/PHONE
BANK ACCOUNT NUMBER
ADDRESS
CITY
STATE
ZIP CODE
4. Type of.C®mmlttee Complete the applicable sections.
o 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 -
C List the political party with which each officeholder or candidate is affiliated or check "nonpartisan" Stating "No party preference" is acceptable.
O 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
CHECK ONE
PARTY
Nonpartisan
Partisan
(list political party below)
20IV
Z
Win )1—
C -1-y
/Y)orro
y
n
®
i3ay
Nonpartisan
Partisan
(list
political
party
below)
u
iiimari(y Fof--' t ;Ghat
Pnmarily 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 MEASURES) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
OPPOSE
SUPPORT
SUPPORT
OPPOSE
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275.-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
4. Typeof-.Committee
�-- C ", V Crk wm
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
CITY Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party/Central Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
onsored eommr�[teg
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 COOF/PHONE
Small contribtitorComrintte
Date qualified
J. Termination- Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been met:
• This committee has ceased to receive contributions and make expenditures;
e 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;
o 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.
LCiear Page
PrUnt
•
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/27S-3772)
www.fppc.ca.gov