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HomeMy WebLinkAbout2022.09.22_Landrum_Form 410 AmendStatement of Organization Date Stamp UALIrUK11111A RECEIVED FORM Recipient Committee City of Morro Bay Statement Type ❑ Initial Amendment El Termination I-, See Part 5 For Off cial Use Only Q Not yet qualified SEP 2 2 2022 or p Date qualification threshold met Date qualification threshold met Date of termination / a City Clerk I.Wil D. NumberfLO ..,kr-s, t.:�: a.. - -c:. t.r .:l (if applicable) -k• . NAME OF COMMITTEE NAME OF TREASURER (�/aJ.!:2uNl� i v� �tTt�x3NGti_a Now' !M iiGl� t--�— STREET ADDRESS (NO P.O. BOX) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE CA Q3�k�k�- 9o. STATE ZIP CODE eQ PHONEE NAME OF ASSISTANT TREASURER, IF ANY FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE AZAL>A tAf�D P_uM �' YAkA-&e�D : CQ rye COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) SAO UJ6 ©r31Gr c:�? �I f �d ol'� MUP.r:Ev 7?::A STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. r 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 foregoing is true and correct. Executed on By � <<_,...� ,+_c�-� ASSISTANT TREASURER Executed on �L% By ATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on BY DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advice(c�fppc.ca.�ov (866/275-3772) www.fppc.ca,gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE • 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 YEAR OF PARTY (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION cHECK ONE Nonpartisan Partisan (list political party below) Nonpartisan Partisan (list political party below) Pr�mar�ty°Formed Committee 7 � . - . • • • • • • • . • • - • • . • • • - • 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 ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPC Advice: advice(«�fppc.ca.�ov_(866/275-3772) www.f_Ppc.ca.9ov