HomeMy WebLinkAbout2019.11.19_CAL_Form 410 AmendmentStatement of Organization
Recipient Committee
Statement Type [] Initial
Q Not yet qualified
or
Q Date qualification threshold met
/---/
1. Committee Information
® Amendment
Date qualification threshold met
07 12 2019
/ /
I.D. Number
Of applicable) L, c
❑ Termination - See Part Si
Date of termination
/-/
Date Stamp
ECE lED AND FILE
the office of the Secretary of Sta
of the State of California
NOV 12 2019
2. Treasurer and Other Principal Officers
CALIFORNIA di
FORM O
For of iclal Use OnYy--,
NOV ]. 9 2019
City Clerk
NAME OF COMMITTEE
Citizens For Affordable Living
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
NAME OF TREASURER
Kristen Headland
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE ZIP CODE
CA 93442
AREA CODE/PHONE
STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
CA 93442
FULL MAILING ADDRESS (IF DIFFERENT)
Post Office Box Morro Bay, CA., 93443
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE
San Luis Obispo
JURISDICTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo / Morro Bay
Attach additional information on appropriately labeled continuation sheets.
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
Dan Sedley and Betty Winholtz
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE ZIP CODE AREA CODE/PHONE
CA 93442
3. Verification
1 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 uder the laws�of the State of California that the foregoing is true and correct.
Executed on 1-9 ;EP lck By
DATE �DR ASSISTANT TREASURER
Executed on II-3 7 I I By
DATEj
g L'
Executed on By
(�,� DATE CANDIDATE, OR STATE MEASURE PROPONENT
Executed on I �
1 l . 0 i
By
:ANDIDATE, OR STATE MEASURE PROPONENT
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME s-' /�
1.,;. 1 1.2 V 1 S t' Gi +r A --C r`d a. 6 La L 1 it I YI
• All committees must list the financial institution where the campaign bank account is located,
NAME OF FINANCIAL INSTITUTION
Mechanics Bank (formally Rabobank)
AREA CODE/PHONE
805-772-1252
BANK ACCOUNT NUMBER
ADDRESS
251 Harbor Street
CITY
Morro Bay
STATE
CA
ZIP CODE
93442
4. Type of ommittee Complete theappticat le sectio
Controlled Committee
• 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
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY.
CHECK ONE
Nonpartisan
Partisan
C
(list political party below)
f -
Nonpartisan
Partisan
C
(list political party below)
Primarily Formed Committee
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURES) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORTPPOSE
O
E
❑
SUPPORT
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca,gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME - -
or
General Purpose Committee
orttinue
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
® CITY Committee - ❑ COUNTY Committee - 0 STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY - -
Citizen Action Committee to monitor management and costs of new sewer plant and city finances.
Sponsored Committee
List additional sponsors on an attachment.
NAME OF SPONSOR
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS - - NO. AND STREET
CITY - STATE ZIP CODE AREACODE/PHONE
Small Conthibutor Committee
Date qualified
Te.rm:1#lBequwernerrts Sysignngtheverification, the treaturer,assistanttreasurer:and/or candidate,officelioder,orproponentcertifytbataillofihefollowingcondlionshave
• 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 orgovernmental purposes under Government Code Sections 89511 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5. -
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov