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Home My WebLink About2024.02.28_CAL_Form 410 AmendStatement of Organization Recipient Committee Statement Type ❑ initial ® Amendment Q Not yet qualified or ® Date qualification threshold met Date qualification threshold met I.D. Number 1396018 NAME OF COMMITTEE Citizens For Affordable Living ❑ Termination — See Part 5 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 FULL MAILING ADDRESS (IF DIFFERENT) same E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE San Luis Obispo I Morro Bay Attach additional information on appropriately labeled continuation sheets. Date of termination NAME OF TREASURER Kristen Headland Date Stamp RECEIVED City of Morro Bay FEB 2 8 2024 City Clerk For Official Use Only STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Morro Bay CA 93442 EMAIL ADDRESS OF TREASURER (REQUIRED) AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) Dan Sedley STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Morro Bay CA 93442 EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE 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 Z �. ) . �-4 ��=�( By DATE - OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (October/2023) FPPC Advice: acivice@fl)pc.ca.gov (866/275-3772) W W W.fppc.Ca.gov Statement of Organization Recipient Committee Statement Type ❑ Initial ® Amendment Q Not yet qualified or Q Date qualification threshold met Date qualification threshold met ®® q ®® I.D. Number 1396018 IAME OF COMMITTEE Citizens For Affordable Living STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 FULL MAILING ADDRESS (IF DIFFERENT) same E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE San Luis Obispo I Morro Bay Attach additional Information on appropriately labeled continuation sheets. Date Stamp Termination - See Part 5 1 ( For Official Use Only Date of termination NAME OF TREASURER Kristen Headland STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Morro Bay CA 93442 EMAIL ADDRESS OF TREASURER (REQUIRED) AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY ESS (NO P.O. BOX) CITY STATE ZIP CODE EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) Betty Winholtz STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Morro Bay CA 93442 EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE ._............ 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 ^Z 7 -Lo-7 4 By '�-�� DATE/SIGNATR ASSISTANT TREASURER ,-. Executed on � ' By �� %--+ /"&-" � DATE ( SIGNATURE OF CONTROLLING OFFI HOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE 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 (October/2023) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of OrganizationUAL11-4MMA Recipient Committee FORM 410 INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Citizens For Affordable Living 1396018 • All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records. NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS AREA CODE/PHONE BANK ACCOUNT NUMBER Pacific Premier Bank 805-995-4355 ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE 898 Morro Bay Blvd Morro Bay CA 93442 Controlled Committee • 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 Nonpartisan Partisan (list political party below) Nonpartisan Partisan (list political party below) 11 • Primarily formed to support or oppose specific candidates or measures in a single election. list below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) W A RFCAI I STATE "RECAW 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 (October/2023) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee • ' INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D. NUMBER Citizens For Affordable Living 1396018 GeneralNot 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 General Purpose Committee to monitor management and costs of the new sewer treatment plant and city finances. Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE 5. TeCrTtlnafi3Ort Requirements',. By signing the verification, the treasurer, assistant treasyr'erand/or candidate, officeholder,`or porient certify tiiat all of the followmgconditta have been met ; • 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 (October/2023) FPPC Advice: adviceMonc.ca.gov (866/275-3772) www.fppc.ca.gov