HomeMy WebLinkAbout2020.08.31_Headding_John_Form 410 AmendStatement of Organization
Date Stamp
CALIFORNIA
410
Recipient Committee
RECEIVED
FORM
Statement Type ❑ Initial ® Amendment ❑
Termination — See Part 5
City of Morro Bay
For Official Use Only
Q Not yet qualified
AUG 31 2020
Or
Q Date qualification threshold met Date qualification threshold met
Date of termination
08 / 29 / 2020
City Clerk
Olinalir I.D. Number 1411645
'
fl ap nroble)
NAME OF COMMITTEE
NAME OF TREASURER
Headding for Mayor 2020
Homer Alexander
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE AREA CODE/PHONE
Morro Bay
CA
93442
CITY STATE ZIP CODE AREACODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Morro Bay CA 93442
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
P.O. Box 2034 Morro Bay, CA 93443
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CfTV
STATE
ZIP CODE AREA CODE/PHONE
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
San Luis Obispo
City of Morro Bay
John Headding
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
Morro Bay
CA
93442
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 California that the forego
Executed on 10504za _ By
D TE
Executed on By
Executed on
Executed on
DATE
DATE
m
OFFICEHOLDER, CAI
OF CONTROLLING
TREASURER
OR STATE MEASURE PROPONENT
OR STATE MEASURE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE to EASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.eov (866/275-37721
www.fppc.ca.eov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVEflSE
COMMITTEE NAME
Headding for Mayor 2020
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
PaciCc Premier Bank
ADDRESS
898 Morro Bay Blvd
Controlled Committee
AREA CODE/PHONE
805-995-4355
CITY
Morro Bay
DANK ACCOUNT NUMBER
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.
Page 2
1.0. NUMBER
1411645
• 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 OFCANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT
OR HELD
YEAR OF
PARTY
(INCLUDE DISTRICT NUMBER IF
APPLICABLE)
ELECTION
cHECK oNE
JolTn Headding
Mayor of the ON of Morro Bay
2020
Nonpartisan
y
Partisan
)list political party below)
Nonpartisan
Partisan
(list political party below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATES) NAME OR MEASURES) FULLTITLE (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: adyice(�fopc.ca.l?ov (866/275-3772)
www.ft)pc.ca.gov