HomeMy WebLinkAbout2022.09.27_Robinson_Form 410 AmendStatement of Organization
Recipient Committee
Statement Type [12)
Initial ® Amendment
Not yet qualified
or
Date qualification threshold met Date qualification threshold met
09 / 22 / 2022 09 / 22 / 2022
MOR• I.D. Number
Robinson for City Counci12022
STREET ADDRESS (NO P.O.
�IAIt ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
FULL MAILING ADDRESS (IF DIFFERENT)
P 0 Box 90 Morro Bay CA 93443
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
sarahsmithrobinson2022@gmaii.com
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo City of Morro Bay
Attach additional information on appropriately labeled continuation sheets.
❑ Termination — See Part 5
Date of termination
NAME OF TREASURER
Kathleen M Quigley
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
NAME OF ASSISTANT TREASURER, IF ANY
Sarah Robinson
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
NAME OF PRINCIPAL OFFICER(S)
Sarah Robinson
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
I nave uses all reasonable diligence in preparing this statement and to the best of my knowledge the inf(
penalty of perjury under the laws of the State of California that the f egoing is true and correct.
Executed on / �2 By (
DATE
/ ^DA SIGN U E OF TREASURER OR ASSISTANTT
Executed on [ — By
Executed on
DATE
Executed on
DATE
Date Stamp
RECEIVED
City of Morro Bay
SEP 2 7 2022
For Official Use Only
STATE ZIP CODE AREA CODE/PHONE
CA 93442
STATE ZIP CODE AREA CODE/PHONE
CA 93442
STATE ZIP CODE AREA CODE/PHONE
CA 93442
n contained herein is true and complete, I certify under
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice anfppc.ca.eov (866/275-3772)
www.fooc.ca.gov
O
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME Page 2
Robinson for City Council 2022 LID, NUMBER1452676
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Mechanics Bank 805-772-1252
ADDRESS CITY STATE ZIP CODE
251 Harbor St Morro Bay 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.
• 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 OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT iINCLELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
UDF DISTRIrT NI IAARFR W Aooi irA ci c!
• ------._...._. ..........,. .. .,.....,.. �,
ELK IPON
CHECK
Nonpartisan
ONE
Partisan
(Ilst 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) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT CIF THP r)rrirrwni ncwc AiAA—
CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
I—, In r UA wury i Y, A5 APPLICABLE)
CHECKONE
SUPPORT
OPP05E
SUPPORT
OPPOSE
FPPC Form 410(August/2018)
FPPC Advice: adviceC�fppc.ca.eov (866/275-3772)
www.fppc.ca.gov