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2020.09.03_Sadowski_Richard_Form 410 Amend
Statement of Organization Recipient Committee Date Stamp RECEIVED CALIFORNIA FORM Statement Type ❑ Initial ® Amendment ❑ Termination — See Part 5 City of Morro Bay For Official Use Only Q Not yet qualified S E P- J 2020 or O Date qualification threshold met Date qualification threshold met Date of termination _Pl� .PT]_/�_ /—/ City Clerk Committee1. • • I.D. Number a Ilro61e 2. Treasurer and Other PrincipalOfficers NAME OF COMMITTEE NAME OF TREASURER Sadowski For City Council 202U Kristen Headland STREET ADDRESS (NO P.O. BOX) STREET ADDRESS (NO RO, BOX) CITY Morro Bay STATE CA ZIP CODE 93442 AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Morro Bay CA 93442 Donald Headland FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P,O. BOX) PO BOX 1704, Morro Bay, CA., 93443 E•MAILADDRESS (REQUIRED)/FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 805- OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE NAME OF PRINCIPAL OFFICER(S) San Luis Obispo Morro Bay, CA., 93442 Richard E.T. Sadowski STREET ADDRESS (NO PA, BOX) 90 additional information on appropriately labeled continuation sheets. CITY, STATE ZIP CODE Morro Bay © 93442 AREA CODE/PHONE 805- I have used all reasonable diligence in Drenaring this statement and to the best of my knowledge the information contained herein is true and complete. I certifv under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on � � •l? � -'7, ;>gy DATE Executed on ne) '" C)LI �y DATE Executed on Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: adv1ce6Dfgpc.ca.eov (866/275=3772) www.fppc.ca,gOv CALIFORNIA 410 FORM Controlled Committee Primarily Formed Committee Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Idol_ General Purpose Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ® CITY Committee . � List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS N0. AND STREET � Small Contributor Committee � ❑ COUNTY Committee CITY • This committee has ceased to receive contributions and make expenditures; ❑ STATE Committee GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE • 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; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. AREA CODE/PHONE — 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. FPPC Form 410 (Augustf 2018) FPPC Advice: advice(�fPpc.ca.gov (866/2753772� www.ft)pc.ca.gov