HomeMy WebLinkAbout2024.01.31_CAL_Form 410 AmendStatement of Organization
Recipient Committee
Statement Type ❑ Initial ® Amendment ❑ Termination — See Part 5
0 Not yet qualified
or
Q Date qualification threshold met Date qualification threshold met Date of termination
•• • • I.D. Number 1396018 •
NAME OF COMMITTEE
Citizens For Affordable Living
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
FULL MAILING ADDRESS (IF DIFFERENT)
same
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo I Morro Bay
Attach additional information on appropriately labeled continuation sheets.
NAME OF TREASURER
Kristen Headland
Date Stamp
RECEIVED
City of Morro Bay
JAN 3 12024
City Clerk
STREET ADDRESS (NO P.O. BOX)
EMAIL ADDRESS OF TREASURER (REQUIRED)
NAME OF ASSISTANT TREASURER, IF ANY
P.O.
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
NAME OF PRINCIPAL OFFICER(S)
Dan Sedley and Betty Winholtz
STREET ADDRESS (NO P.O. BOX)
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED)
CITY
Morro Bay
CITY
CITY
Morro Bay
For Official Use Only
STATE ZIP CODE
CA 93442
AREA CODE/PHONE
STATE ZIP CODE
AREA CODE/PHONE
STATE ZIP CODE
CA 93442
AREA CODE/PHONE
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 the laws o-ff t.!�he State of California that the foregoing is true and correct.
Executed on �% l t) •-21By
DATE SIGNATURE
OFFTTREASURER OR ASSISTANT TREASURER
Executed on BY '�J�
j IGNATURE OF CONTROLLING OVICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
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
FPPC Form 410 (October/2023)
FPPC Advice: advice@fppc,ca.sov (866/275-3772)
www.fppc.ca.gov
Statement of Organization • ' `
411
Recipient Committee
FORIVI
ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Citizens For Affordable Living 1396018
• All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records.
NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS
Pacific Premier Bank
ADDRESS OF FINANCIAL INSTITUTION
898 Morro Bay Blvd
AREA CODE/PHONE
805-995-4355
CITY
Morro Bay
• 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.
BANK ACCOUNT NUMBER
STATE ZIP CODE
CA 93442
• 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) ELECTION CHECK ONE
Nonpartisan Partisan (list 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:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RFCA11 STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (October/2023)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.sov
Statement of Organization
Recipient Committee rNMB'ER
INSTRUCTIONS ON REVERSECOMMITTEE NAME Citizens For Affordable Living 139608
General P.. a Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
® CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
General Purpose Committee to monitor management and costs of the new sewer treatment plant and city finances.
Sponsored List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Small Contributor Committee
Date
• 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;
• This committee has no surplus funds; and
• 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.
— 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 (October/2023)
FPPC Advice: advice(@f noc.ca.gov (866/275-3772)
www.fnoc.ca.gov