HomeMy WebLinkAbout2021.04.15_Weiss_John_Form 410Statement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
Amendment
List I.D. number:
q 1425263
❑ Termination — See Part 5
List I.D. number:
w
Date qualified as committee Date qualified as committee Date of Termination
(If applicable)
1. Committee Information
NAME OF COMMITTEE
for Mayor 2020
STREET
CITY
STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
MAILING ADDRESS (IF DIFFERENT)
. Morro Bav, CA. 93442
FAX / E-MAIL ADDRESS
COUNTY OF DOMICILE
San Luis O
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� of Morro Ba
CA.
Attach additional information on appropriately labeled continuation sheets.
Date Stamp
RECEIVED
City of Morro Bay
City Clerk
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Dan R. Costley
STREET ADDRESS (NO P.O. BOX)
For Off vial Use Only
CITY
STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICERS)
STREET ADDRESS (NO P.O. BOX)
cirY
STATE ZIP CODE AREA CODE/PHONE
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 th/e/7laws of the St ` ifornia that the oreg 'ng is rue nd co rE ct.
Executed on O I / `��1 By
Executed on z1 B
DAT15y
Executed on By
DATE 21
Executed on
DATE
SIGNATIIAE OF
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 (Dec/2012)
FPPC Advice; advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov