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HomeMy WebLinkAbout2018.08.10_Headding_John_Form 410Statement of Organization Recipient Committee Statement Type ® Initial Q Not yet qualified or 0 Date qualified as committee 08 / 08 / 2018 11. Committee Information NAME OF COMMITTEE 0 Amendment ❑ Termination — See Part 5 / / / / Date qualified as committee Date of termination R Ettsr171E D City of Morro Bay AUG 1 0 2018 City Clerk CALIFORNIA 410 For Official Use Only I.D. Number (if applicable) 2. Treasurer and Other Principal Officers Headding for Mayor STREET ADDRESS (NO P.O. BOX) CITY Morro Bay STATE ZIP CODE AREA CODE PHONE 805� CA 93442 MAILING ADDRESS (IF DIFFERENT) P.O. Box 2034 E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL) DOMICILE San Luis Obispo JURISDICTION WHERE COMMITTEE IS ACTIVE Morro Bay Attach additional information on appropriately labeled continuation sheets. 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 o t. Executed on 08-08-2018 NAME OF TREASURER Homer Alexander 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 21P CODE AREA COD E/PHONE NAME OF PRINCIPAL OFFICER(S) John Headding STREET ADDRESS (NO P.0, BOX) CITY Morro Bay STATE 21P CODE AREA CODE/PHONE CA 93442 805- By DATE Executed on 08-08-2018 By y Executed on By DATE Executed on By DATE R ASSISTANTTREASURER ING 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 Headding for Mayor • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION Pacific Premier Bank ADDRESS 898 Morro Bay Blvd AREA CODE/PHONE 805-995-4355 CITY Morro Bay BANK ACCOUNT NUMBER STATE ZIP CODE CA 93442 4. Type of Committee Complete the applicable sections. Controlled Committee • 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 John Headding Mayor of Morro Bay 2018 Nonpartisan Partisan (list political party below) / Nonpartisan Partisan (list political party below) T 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 COUNT); AS APPLICABLE) SUPPORT CHECK ONE OPPOSE SUPPORT OPPOSE FPPC Form 410 (February/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov