HomeMy WebLinkAbout2022.08.02_Ford_Form 410 TerminationStatement of Organization
Recipient Committee
Statement Type 0 Initial 0 Amendment
Q Not yet qualified
or
O Date qualification threshold met Date qualification threshold met
Termination — See Part 5
Date of termination
Date Stamp
RECEIVED
City of Morro Bay
AUG 2 2022
/__/ _j.L4 13 / 2022 06 30 / 2022 City Clerk
1. Committee Information I.D. Number (if applicable) 1949164 2. Treasurer and Other Principal Officers
NAME OF COMMITTEE NAME OF TREASURER
Jen Ford for Morro Bay City Council 2022
STREET ADDRESS (NO P.O. BOX)
5445 Madison Avenue
CITY STATE ZIPCODE AREA CODE/PHONE
Sacramento CA 95841 (916)348-9100
FULL MAILING ADDRESS (IF DIFFERENT)
EMAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
campaigns@rcbB.uB / (916)348-9111
Sacramento
JURISDICTION WHERE
City of Morro Bay
Denise Lewis
STREET ADDRESS (NO P.O. BOX)
5445 Madison Avenue
CITY
For Official Use Only
STATE ZIP CODE AREA CODE/PHONE
_Sacramento CA 95841 (916)348-9100
NAME OF ASSISTANT TREASURER, IF ANY
Marissa Russell
STREET ADDRESS (NO P.O. BOX)
5445 Madison Avenue
CITY STATE ZIP CODE AREA CODE/PHONE
Sacramento CA 95841 (916)348-9100
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets. 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 of California that the foreng is true and correct.
Executed on 7/20/2022 By
DATE __----_--919NATURE TREASURER
Executed on
Executed on
Executed on
neifile.00m
7/20/2022 By
DATE
DATE
DATE
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&ppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Jen Ford for Morro Bay City Council 2022
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
First Foundation Bank
ADDRESS
AREA CODE/PHONE
(916)724-2424
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
2233 Douglas Boulevard, Suite 300 Roseville CA 95661
41'ype of CiDmmit#ee Complete thewapplica6le sections
I.D. NUMBER
2 of 3
1444164
• 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.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Jennifer N Ford
City Council Member City of Morro Bay
2022
Nonpartisan
X
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(5) FULL TITLE (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
T OPPOSE
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
Page 3 of 3
COMMITTEE NAME I.D. NUMBER
Jen Ford for Morro Bay City Council 2022
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
Blum" !I List additional sponsors on an attachment.
NAME OF SPONSOR
STREETADDRESS NO. AND STREET
CITY
GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE AREA CODE/PHONE
Date qualified
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• 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 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov