HomeMy WebLinkAbout2018.08.27_Headding_John_Form 410 AmendmentStatement of Organization
Recipient Committee
Statement Type
® Initial
• Not yet qualified
or
Q Date qualified as
08 / 08 /
committee
2018
❑ Amendment
/--/
Date qualified as committee
0 Termination — See Part 5
Date of termination
1. Committee Information
I.D. Number
(if applicable)
Date Stamp
RECEIVED
City of Morro Bay
AUG 2 7 2018
er
2. Treasurer and Other Principe O''cers
For Official Use Only
NAME OF COMMITTEE
Headding for Mayor 2018
Morro Bay
STATE ZIP CODE
CA 93442
AREA CODE/PHONE
805
MAILING ADDRESS (IF DIFFERENT)
P.O. Box 2034 Morro Bay, CA 93443
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE
San Luis Obispo
JURISDICTION WHERE COMMITTEE IS ACTIVE
City of Morro Bay
Attach additional information on appropriately labeled continuation sheets.
NAME OF TREASURER
Homer Alexander
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE
ZIP CODE
CA 93442
AREA CODE/PHONE
805-
NAME OF ASSISTANTTREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREACOD E/PHONE
NAME OF PRINCIPALOFFICER(5)
John Headding
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE
ZIP CODE
CA 93442
AREA CODE/PHONE
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 of Californi
Executed on 08-20-2018 By
DATE
Executed on 08-20-2018
Executed on
Executed on
By
DATE
By
DATE
By
DATE
RER
MEASURE PROPONENT
MEASURE PROPONENT
SIGNATURE DECONTROLLING 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 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
805-995-4355
BANK ACCOUNT NUMBER
ADDRESS
898 Morro Bay Blvd
4. Type of Committee Complete the applicable sections.
Controlled Committee
CITY
Morro Bay
STATE ZIP CODE
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 Headding
Mayor of the City of Morro Bay
-----'"-"
2018
U-ItCKUNt
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(5) 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)
`y
SUPPORT
V
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov