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HomeMy WebLinkAbout2022.09.29_Cordes_Form 410 AmendStatement of Organization Date Stamp Recipient Committee RECEIVED =F.,Official Statement Type ❑ initial Amendment ❑Termination —See Part 5 Ci of Morro Bay® � Use OBIy Q Not yet qualified or SEP 2 9 2022 0 Date qualification,threshold met Date qualification threshold met Date of termination ., / 9 , 20 , 2022 ,--1 City Clerk Committee1. I.D. Number • • • • Officers 1 o Ilcab/e NAME OF COMMITTEE NAME OF TREASURER CORDES FOR CITY COUNCIL 2022; CASEY Mallerie Niemann STREET ADDRESS (NO P.O. BOX) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Morro Bay CA 93442 FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL) CITY STATE ZIP CODE AREACODE/PHONE CASEY@CCFORCC.COM COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) San Luis Obispo Morro Bay Casey Cordes STREET ADDRESS (NO P.O. BOX) Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 3. Verification I have used a reasons a dl igence in preparing this statement and tot a best of my knowledge t e in ormation contained herein is true and compete, I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on �� 2 1 — 2Z By G' DATE Executed on By DATE Executed on DATE PROPONENT By 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: adyicePfppc.ca.gov (866/275-37721 "www.fppc.ca.POV Statement of Organization CALIFORN Recipient Committee • - INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER CORDES FOR CITY COUNCIL 2022; CASEY 1451664 All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER Pacific Premier Bank 888.388.5433 ADDRESS CITY STATE ZIP CODE 17901 Von Karman Avenue, Suite 1200 Irvine CA 92614 • 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 CAN MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Casey Cordes City Council Morro Bay 2022 Nonpartisan Vf Partisan (list political party below) Nonpartisan Partisan (list polltical party below) FormedPrimarily Primarily formed to support or oppose specific candidates or measures in a single election. List below: CAN DIDATE(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) CHECKONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPC Advice: advice@fopc.ca.gov (866/275-3772) www.fPPc.ca.gov