HomeMy WebLinkAbout2023.09.20_Headding_Form 410 Termanr�w
Statement of Organization V \`''� U— U
Date Stamp
, ,
Recipient Committee
RECEIVED
•
Statement Type ❑ Initial El Amendment
®Termination —See Part 5
City of Morro Bay
For Official Use Only
0 Not yet qualified
S EP 2 ' 0 2023
or
0 Date qualification threshold met Date qualification threshold met
Date of termination
/
09 20 2023
City Clerk
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, /
Committee1. • I.D. Number 14116452.
Treasurer and Other
PrincipalOfficers
(i/appllcoblef
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 93443
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY
STATE
ZIP CODE AREA CODE/PHONE
johnheaddingformayor@gntail.con
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. ROX)
Attach additional information on appropriately labeled continuation sheets.
CITY
STATE
ZIPCODE AREA CODE/PHONE
3. Verification
Morro Bay
CA
93442
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 perjurGy�under the laws of the State of California that the forego'ng is true and correct.
Executed on ( ZCJ Yam' By
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@fgpc.ca.eov (866/275-3772)
www.fpac.cagov
Statement of Organization
Recipient Committee El,
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Headding for Mayor 2024 1411645
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 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 rwrrK nmF
John Headding
Mayor, City of Morro Bay
2024
Nonpartisan
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 MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CAN OFFICE SOUGHT OR HELD OR MEASUREIS)JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice6fopc.ca.goy (866/275-3772)
www.fppc,ca.gov