HomeMy WebLinkAboutStewart - Form 410 - 2022-06-06_RedactedReturned:-
1 A Date Stamp J
Statement of Organization 111 1
Sta g
Recipient Committee RECEIVED
Statement Type ®Initial ❑ Amendment ❑ Termination — See Part 5 in 9 0 ca of the Secrel ary of tatQ For Official Use Only
Not yet qualified of the State of Callfamio
10 or APR 2 8 2022
Date qualification threshold met Date qualification threshold met Date of termination
1 1 1 �. d
ITZMEM I.D. Number 2. Treasurer . Other PrincipalOfficers
e licc5fr
7WC1-0(1—Co
MMITTEE NAME OF TREASURER
p in the of�IBe of the Secretary of State
M.0� fC ��' ,)�f O�^of the State of ornia
V
STREET ADDRESS INO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODEfPHONE NAME OF ASSISTANT TREASURER, IF ANY
� L. i3 `� S �� y�i7 (;/- a-f 01 � r��� j,�3- 5 3�IL C. -1 Ga- A ���6-f-'�
❑ P.O. BOX
FULL MAILING ADDRESS JIF DIFFERENT')
COY ATE ZIP CODE AREACODEIPHONE
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL} _ ,
COUNTY0FDOMICILE 1UR}SDICI10NWHItRECom EEISACT IVE NAME OFPRINCIIPALOFFICER(5) RECEIVED
.S�n L� i .s D�, Q a t,c'i5 a 5 0o
STREET ADDRESS (NO RO BOX) JUN 06 2022
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing this statement and to the
penalty of perjury under the laws
f of the State o
Executed on V22- BY
DATE
Executed on .4 1 Z � DATE E BY
51GNA E OF
Executed on BY
DATE
CITY STATE
,t of my knowledge we
is true and correct.
I.> OR ASSISTANT TREASURER
CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
true
,pf r4 fie!
Or
Executed on BY
DATE SIGNATURE 0 F CONTROUI NG OFFICEHOLDER, CANDIDATE, OR STAT E ME AS UR E P ROP ONEN T
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc caca.gov (866/275-3772)
yJWW.f2pc.Ca.gv
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE Page 2-
LD.NUMBER
COMMITTEE NAME
Erica A. Stewart for Mayor 2022
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
AREACODE/PHONE BANKACCOUNT NUMBER
American Riviera Bank (805) 540-6230 53007816
CITY STATE ZIP CODE
ADDRESS
1085 Higuera Street Suite 110 San Luis Obispo CA 93401
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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
1ll
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IFAPPLICABLE)
vi
LJ IS bb I`
YEAR OF
PARTY
ELECTION
CHECK ONE
Nonpartisan Partisan
2OV-
X
Nonpartisan Partisan
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN 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)
party below)
party
CHECK ONE
SUPPORT I OPPOSE
SUPPORT I OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: adyice@fPAQca--9 v (866/275-3772)
www.fppc.ca�. av