HomeMy WebLinkAbout2018.08.15_Weiss_John_Form 410Statement of Organization
Recipient Committee
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OF
0 Amendment ❑ Termination — See Part 5
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1. Committee Information
NAME OF COMMITTEE
Date Stamp
RECEIVED
City of Morro Bay
AUG 15 2018
Administration
CALFIFORNIA 410
For Official Use Only
I.D. Number
(if applicable)
2. Treasurer and Other Principal Officers
NAME OF TREASURER
John Weiss for Mayor 2018 John Weiss
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay
CA 93442 805-
STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
CA 93442 805
MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE
San Luis Obispo
Jessica Weiss
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay
JURISDICTION WHERE COMMITTEE 15 ACTIVE NAME OF PRINCIPAL OFFICER(5)
Morro Bay
Attach additional information on appropriately labeled continuation sheets.
3. Verification
CA 93442 805EM
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
I have used all reasonable diligence in pre
penalty of perjury under the laws of the S
Executed on August 13th, 2018
Executed on g
DATE TURE OF TREASURER OR ASSISTANT TREASURER
nowledge the information contained herein is true and complete. I certify under
d correct.
DATE
Executed on
DATE
Executed on By
DATE
By
(OFFICEHOLDER, CANDIDATE, 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 (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
John Weiss for Mayor 2018'
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Pacific Premier Bank
AREA CODE/PHONE
805-771-1950
BANK
STATE ZIP CODE
ADDRESS
898 Morro Bay Blvd
4. Type of Committee Complete the applicable sections
Controlled Committee
CITY
Morro Bay
CA
93442
• 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
PARTY
John Weiss
Mayor foe City of Morro Bay
-_---"
2018
1.I1tC1(UNt
Nonpartisan
Partisan
(list political party below)
Nonpartisan
Partisan
(list political party below)
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)
John Weiss
Mayor for City of Morro Bay
SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov