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HomeMy WebLinkAbout2022.04.28_Costanzo_Form 410 AmendmentStatement of Organization Recipient Committee Statement Type Initial Q Not yet qualified or O Date qualification threshold met 1. Committee Information 2 Amendment Date qualification threshold met I.D. Number (if applicable) NAME OF COMMITTEE FRIENDS OF COSTANZO FOR COUNCIL 2022 04 / 11 / 2022 1446119 Termination — See Part 5 Date of termination STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE MORRO BAY CA 93442 FULL fv1AILING ADDRESS (IF DIFFERENT) PO BOX 62, MORRO BAY, CA 93443 E MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) COSTANZOFORCOUNCIAL2022 c,GMAIL.COM COUNTY OF DOMICILE SAN LUIS OBISPO JURISDICTION WHERE COMMITTEE IS ACTIVE CITY OF MORRO BAY AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. Date Stamp RECEIVED City of Morro Bay APR 2 8 2022 City Clerk 2. Treasurer and Other Principal Officers NAME OF TREASURER DAN COSTLEY For Official Use Only STREET ADDRESS (NO P.O. BOX) CITY MORRO BAY NAME OF ASSISTANT TREASURER, IF ANY STATE ZIP CODE CA 93442 AREA CODE/PHONE STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 3. Verification 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 of the State and correct. SIGNATURE • TREASURER OR ASSISTANT TREASURER CONTROLLING 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 FRIENDS OF COSTANZO FOR COUNCIL 2022 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION PACIFIC PREMIER BANK ADDRESS 898 MORRO BAY BLVD. (branch 14) 4. Type Of COmrltittee Complete the applicable sections'; Controlled Committee AREA CODE/PHONE 888.388.5433 CITY MORRO BAY BANK ACCOUNT NUMBER CA ZIP CODE 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 ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY CHECK ONE JAMES COSTANZO MORRO BAY CITY COUNCIL MEMBER 2022 Nonpartisan Partisan (list political party below) X 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(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ON SUPPORT OPPOSE UPPORT PPOS FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov