HomeMy WebLinkAbout2019.07.24_Headding_John_Form 410 AmendmentStatement of Organization
Recipient Committee
Statement Type
❑ Initial
Q Not yet qualified
or
Q Date qualification threshold met
/ /
0 Amendment
Date qualification threshold met
08 / 08 / 2018
❑ Termination — See Part R
in
Date of termination
Date Stamp
CALIFORNIA 410
FRM
ECEIVED ADD FILE'
the office of the Secretary of Sta e
of the State of California
.JUL 11 2019
IR MEWED
City of Morro Bay
JUL 24 2019
1. Committee Information
I.D. Number
(if applicable) 1411645
NAME OF COMMITTEE
Headding for Mayor 2020
STREET ADDRESS (NO P.O. BOX)
CITY
NAME OF TREASURER
Homer Alexander
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE
ZIP CODE AREA CODE/PHONE
CA 93442
STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Morro Bay CA 93442
FULL MAILING ADDRESS OF DIFFERENT)
P.O. Box 2034 Morro Bay, CA 93443
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE
San Luis Obispo
JURISDICTION WHERE COMMITTEE 15 ACTIVE
City of 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)
John Headding
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay
CA 93442
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of m knowled:e the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California t
Executed on 7 '- - lr
By
Executed on By
DAT
Executed on By
DATE
Executed on By
DATE
OR ASSIS ANT TREASURER
OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
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: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Headding for Mayor 2020
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Pacific Premier Bank
AREA CODE/PHONE
805-995-4355
BANK ACCOUNT NUMBER
ADDRESS
898 Morro Bay Blvd
CITY
Morro Bay
STATE
CA
ZIP CODE
93442
4. Type of Committee Complete the applicable';sections.'
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
John Headding
Mayor of the City of Morro Bay
2020
Nonpartisan
Partisan
(list political party below)
Nonpartisan
Partisan
(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 MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME,
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(5) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov