HomeMy WebLinkAboutFrancis - Form 410 - 2022-03-03_Redacted.,.
Statement of Organization
Recipient Committee
IZ-L ~,6 t-ff r; J 1 Id Date Stamp CALIFORNIA 41 Q
FORM
I Statement Type l.-lll-ln-it-ia-1-------.-1 ----------1---------~ EC EIV~D AMO FILE
the office ot the Secretary of St<!te
of the State of California
D Amendment D Termination -See Part 5 ly
0 Not yet qualified
or
O Date qualification threshold met I Date qualification threshold met Date of termination FEB 22 2022
NAME OF COMMITTEE
Emily Francis For SLO City Council 2022
STREET ADDRESS (NO P.O. BOX]
cm STATE ZIP CODE AREA CODE/PHONE
San Luis Obispo CA 93401 7208833181
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
aFRilve:aeeis@mac .com: Sl',~c,'b~o-<S\t> ~ ~~\. C.OW\
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo San Luis Obispo
Attach additional information on appropriately labeled continuation sheets.
NAME OF TREASURER
Trent Johnson
STREET ADDRESS (NO P.O. BOX)
CITY
San Luis Obispo
NAME OF ASSISTANT TREASURER, IF ANY
Emily Francis
STREET ADDRESS (NO P.O. BOX)
CITY
San Luis Obispo
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
CA 93405 5304004724
STATE ZIP CODE AREA CODE/PHONE
CA 93401 7208833181
STATE ZIP CODE 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 .
penalty of perjury under the laws of the State of Cal ifornia that the foregoing is true and correct.
Executed on 211612022 By
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Executed on Zfl ~ lut:2.--
I DATE
By
Executed on By
DATE
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR ST ATE M EASUREPROl'ONcNT
MAR 2 5 2022
S LO CITY CLERK
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
~
Statement of Organization
Recipient Committee
CALIFORNIA 41 0
FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITIEE NAME I.D. NUMBER
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
~ontrolled 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHECK ONE
Emily Francis City Council 2022 Nonpartisan
./
Nonpartisan
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election . List below:
CANDIDATE($) NAME OR MEASURE(S) FULL TITLE (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
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
Partisan
Partisan
(list political party below)
(list political party below)
CHECK ONE
I I I '"''°~ I "'°" I
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772}
www.fppc.ca.gov