HomeMy WebLinkAbout410 Initial - SLO Citizens for Yes on Measure GStatement of Organization
CALIFORNIA
Recipient Committee
ww. RECEIVED
-FORM
410
Statement Type ® Initial ❑ Amendment
❑ Termination — See Part 6
For Official Use Only
Q Not yet qualified
AU153 3 12020
or
1
O Date qualification threshold met Date qualification threshold met
Date of termination
S LO CITY CLERK-:
8 1 18 2020
Committee1. I.D. Number
2. Treasurer and
Other Principal Officers
r a rrcaok
NAME OF COMMFME
NAME OF TREASURER
SLO CITIZENS FOR YES ON MEASURE G
HILLARY TROUT
STREET ADDRESS (NO P.O. BOX)
1173 BUCHON STREET
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE AREA CODE/PHONE
1173 BUCHON STREET
SAN LUIS OBISPO
CA
93401 805/709-5194
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
SAN LUIS OBISPO CA 93401 805/709-5194
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
PO BOX 15139, SAN LUIS OBISPO, CA 93401
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
CITY
STATE
ZIP CODE AREA CODE/PHONE
HGTROUT@GMAIL.COM
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE 15 ACTIVE
NAME OF PRINCIPAL OFFICER(S)
SAN LUIS OBISPO
I
SAN LUIS OBISPO
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY STATE
ZIP CODE AREA CODE/PHONE
Verification3.
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the intormation contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the for oing is true and correct.
Executed on 08/17/2020 By
DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER
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
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: adv€ce@fauc.ca.gav (866/275-3772)
wwwJPPc.ca.¢ov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
SLO CITIZENS FOR YES ON MEASURE G
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREACODE/PHONE BANKACCOUNT NUMBER
PREMIER VALLEY BANK 805/547-2595 9800025926
ADDRESS CITY STATE ZIP CODE
863 MARSH STREET SAN LUIS OBISPO CA 93401
Page 2
LD, NUMBER
• 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)
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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECKONE
MEASURE G-20
CITY OF SAN LUIS OBISPO
SUPPORT
%f
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410(August/2018)
FPPC Advice: advice@fooc.ca.eov (866/275-3772)
www.fooc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
SLO CITIZENS FOR YES ON MEASURE G
Not 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
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO ANDSTREET
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
Page 3
I.D. NUMBER
STATE ZIP CODE AREA CODE/PHONE
Smallr rr Committee❑ /
Dale qml.hrd
Requirements5. Termination
rn, the treasurer, assistant treasurer and/or candidate, officeholder, or ponent certify that all of r •wing conditions have been
• 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(August/2018)
FPPC Advice: advice0func.ca. ng_v (866/275-3772)
www.fpoc.ca.eov