HomeMy WebLinkAbout2022.08.23_Robinson_Form 410Statement of Organization
Recipient Committee
Date StampCALIFORNIA
'
i
RECEIVED -
Statement T e
Yp m Inal ❑Amendment ❑Termination
—See Part 5
y U IVIUIIU LjQy
For Official Use Only
Not yet qualified
AUG 2 3 2022
or
Q Date qualification threshold met Date qualification threshold met
Date of termination
City Clerk
I.D. Number
2. Treasurer and Other
PrincipalOfficers
(if applicable)
_
NAME OF COMMITTEE
NAME OF TREASURER
Robinson for City Council 2022
Deneen Patti
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 AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Morro Bay CA 93442
N/A
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
CITY
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
Sarah Robinson
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
I have used all reasonable diligence In preparing inls statement anU LU Lne UeSL UI Illy KIIUVVIeur-j'e LI IC IIIIVI IIId LIUII t.UI ILQIIICU IICI CIII 13 a — aiiu y
penalty of perjury under the laws of the State 8/17/22 ofi#ornia that
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DATE ,�
DATE IGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advicePfppc.ca.gov (866/275-3772)
www.fppc.ca.gov
III
Statement of Organization • .
Recipient Committee "FA
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Robinson for City Council 2022
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
AREA CODE/PHONE I BANK ACCOUNT NUMBER
CITY STATE
ZIP CODE
• 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.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CAN MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECKONE
Sarah Robinson
city council member
2022
Nonpartisan
Partisan
(list political party below)
Nonpartisan
Partisan
(list political party below)
rx . Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL. STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410(August/2018)
FPPC Advice: advicePfppc.ca.gov (866/275-3772)
www.fppc.ca.gov