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HomeMy WebLinkAbout2022.08.08_Cordes_Form 410tatement of Organization ecipient Committee tatement Type ® initial ❑ Amendment ® Not yet qualified or Q Date qualification threshold met Date qualification threshold met . T . M LD. Number NAME OF COMMII I tt Termination — See Part 5 Date of termination STREET ADDRESS (NO P.O. BUA) I 10 i^ry 1c)64y FULL MAILING ADDRESS (IF DIFFERENT) EMAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE � okeo L 3ci41 ),— Attach additional information on appropriately labeled continuation sheets. Date Stamp RECEIVED City of Morro Bay AUG 8 2022 City Clerk NAME OF TTRREAWMA MCCI(e-oIc, A/ I�e-i/i al7o STREET ADDRRESS (NO P.O. BOX) clTv NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY NAME OF PRINCIPAL OFFICER(; STREET ADDRESS (NO P.O. BOX) CITY GA STATE For Official Use Only ZIP CODE AREACODE/PHONE g3g4;, CODE ZIP CODE I have used all reasonab a diligence in preparing this statement and to the best of my knowledge the information contained herein is true ana comp penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on By Executed on BY DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT AREA CODE/PHONE r Executed on BY DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FppC Form 410 (August/2018) FPPC Advice: advice fnac ca eov (866/275-3772) www.faac.ca.i:ov tatement of Organization recipient Committee STRUCTIONS ON REVERSE OMMITTEE NAME� �, ] Cy-� t V � t...�' J �.l �✓ / V All committees must list the financial institution where the campaign bank account is located. AREA CODE/PHONE VAME OF FINANCIAL INSTITUTION CITY ADDRESS BANK ACCOUNT NUMBER STATE ZIP CODE Controlled Committee i I 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 I.D. NUMBER 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. ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) APPLICABLE) ELECTION CHENonpartisa CK ONEPartisan (list political party C'1!, �F-E�'L��')GJ / l�c?Y:°ICJC.'.•G'^ �Cij'�P7 1 i-do"5 Nonpartisan Partisan (list political party Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION CHECK ONE CANDIDATE(S) NAME MEASURE(S) F (INCLUDE BALLOT OR LETTER) (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) IF A RECALL, STATTEE "RECALL" IN FRONT OOF F THE OFFICEHOLDER''SS NAME. SUPPORT OPPOSE SUPPORT I OPPOSE FPPC Form 410 (August/2018) FPPC Advice: advice fppc ca rov (866/275-3772) www.fr)pc.ca.gov tatement of organization .ecipient Committee STRUCTIONS ON REVERSE MMITTEE NAME/ WIDE BRIEF DESCRIPTION OF ACTIVITY AME OF SPONSOR CAAC' / � Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee List additional sponsors on an attachment. TREET ADDRESS NO. AND STREET CITY Stnall contributor Committee Date INDUSTRY GROUP OR AFFILIATION OF SPONSOR >IAIC cir w... • This committee has ceased to receive contributions and make expenditures; • 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; o This committee has no surplus funds; and Page 3 I.D. NUMBER ....--lomnNG This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. — 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. e used for political, legislative or governmental purposes under Government Code Sections 89511- — Leftover funds of ballot measure committees may b 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (August/2018) FPPC Advice: adviceMppc.ca-Rom (866/275-3772) www.f p P c. Ca.gOy