HomeMy WebLinkAboutForm 410_SLO Citizens for Measure G_2021-12-27_Termination_RedactedStatement of Organization
Date Stamp
Recipient Committee
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CALIFORNIA
FORM 4 10
Statement Type ❑ Initial El
®Termination —See Part 5
c( .he `State qr - .rniaf
For Official Use Only
Q Not yet qualified
or
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21
JAN 0 3 2022
Q Date qualification threshold met Date qualification threshold met
Date of termination
11 27 / 2021
Committee1. • • I.D. Number 1432948
• Officers
rKee�
NAME OF COMMITTEE
NAME OF TREASURER
SLO CITIZENS FOR YES ON MEASURE G
HILLARY TROUT
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE AREA CODE/PHONE
SAN LUIS OBISPO
CA
93401 -
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
SAN LUIS OBISPO CA 93401 -
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
CITY
STATE
ZIP CODE AREA CODE/PHONE
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
SAN LUIS OBISPO SAN LUIS OBISPO
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY STATE
ZIP CODE AREA CODE/PHONE
3. Verification
I have used all reasonable diligence in preparingthls statement and to the Dest of my Knowledge ti)e intorrnation contained herein is true and complete. ) certify under
penalty of perjury under the laws of the Stare ref r alifnrnia that tha fpregoing is true and correct.
Executed on 12/27/2021
DATE
SIGNAI URE OF 1 RLASURER OR
Executed on I By
DATE SIGNATURE 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
RECEIVED
JUN 2 9 2023
i SLO CITY CLERK
FPPC Form 410 (August/2018)
FPPC Advice: advice@faoc.ca.gov (866/275-3772)
www.fPPc.ca.eov