HomeMy WebLinkAbout2023.01.25_Headding_Form 410 AmendStatement of Organization
Date Stamp
.
Committee
RECEIVED
,Recipient
-Statement
Type ElInitial ® Amendment
Termination -See Part 5
City of Morro Bay❑
Fr-r officialUseOnly
Q Not yet qualified
JAN 2 5 2023
or
Q Date qualification threshold met Date qualification threshold met
Date of termination
/ /
City Clerk
—,
,
I
Committee1. • • I.D. Number 14116452.
Treasurer and
Other PrincipalOfficers
(i(a licable)
NAME OF COMMITTEE
NAME OF TREASURER
Headding for Mayor 2024
Homer Alexander
STREET ADDRESS (NO P.O. BOX)
STREETADDRESS (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)
P.O. Box 2034 Morro Bay, CA 93442
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY
STATE
ZIP CODE AREA CODE/PHONE
johnheaddingformayor@gmail.com
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
San Luis Obispo
City of Morro Bay
John Headding
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY
STATE
ZIP CODE AREA CODE/PHONE
3. Verification
Morro Bay
CA
93442
I have used all reasonable diligence in preparing this st
penalty of perjury under the laws of the State of Califo
Executed on % G7 ;Z-e a z By
D E
Executed on � z1%Z gy
DATE
Executed on By
DATE
nt and to the best of my knowledge the information contained herein is true and complete. I certify under
atthe foregoing S-VL.1e and correct.
SIGNATURE :
CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF
IRATE, 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@fppc.ca.Rov (866/275-3772)
www.fppc.ca.Rov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Headding for Mayor 2024 11411645
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREACODE/PHONE BANK ACCOUNT NUMBER
Pacific Premier Bank 805-995-4355
ADDRESS CITY STATE ZIP CODE
898 Morro Bay Blvd Morro Bay CA 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.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION
Nonpartisan Partisan (list political party below)
Nonpartisan Partisan (listpolitical party below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURES) FULLTITLE (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
Il Alrl I InG nICTUIrT— 1-1 1%
John Headding
Mayor, City of Morro Bay
SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fdpc.ca.gov (866/275-3772)
www.fppc.ca.gov