The URL can be used to link to this page

Home My WebLink AboutShoresman - Form 410 - 2022-04-27_Amendment No. 1_RedactedStatement of Organization Date Stamp . Recipient Committee RECEIVED Statement Type ❑ initial ® Amendment ❑ Termination — See Part S For Official Use Only APR 212022 QD Not yet qualified or Q Date qualification threshold met Date qualification threshold met Date of termination SLO CITY CLEW Committee1. • I.D. Number 14466282. Treasurer and Other Principal Officers o r�arr NAME OF COMMITTEE NAME OF TREASURER Vote Michelle Shoresman for SLO City Council 2022 Keith Dunlop STREET AD DREss(NO P.O. BOX) STREET AD DRE SS INO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93401 805-320-1127 Clir•TE ZIP CODE AREACOOE/PHONE NAME OF ASSISTANT TREASURER, IF ANY San Luis Obispo CA 93401 805-550-2795 F U LL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O BOX) E-MAIL ADDRESS (Rf.CIu IRFO)/FAX(OPTIONA0 CITY STATE ZIP CODE AREA COD E/P NONF michelleshoresman@gmail.com COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE NAME OF PRINCIPAL OFFICER(SI San Luis Obispo City of San Luis Obispo Michelle Shoresman STREET ADDRESS (NO P.O. BOX) Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93401 805-550-2795 3. Verification I have Used all reasonable diligence in pre - penalty of perjury under the laws of the S Executed on 04/27/2022 DATE Executed on 04/27/2022 DATE Executed on DATE Executed on DATE - --- - ----- --- -- -- -- - -- -- plete. I certtty under SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410(August/2018) FPPC Advice: advicf�@fppr ,.S_L.gov (866/275 -3 772 ) www.fooc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Vote Michelle Shoresman for SLO City Council 2022 All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER American Riviera Bank 1 805-540-6240 �xxxx7831 ADDRESS 1085 Higuera Street CITY San Luis Obispo STATE ZIP CODE CA 93401 • 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 0 F PARTY NAME OF CAN MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION rwprr nNr Michelle Shoresman SLO City Council Member 2022 Nonpartisan Partisan (list political party below) if 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 MEASURES) 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 SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410(August/2018) FPPCAdvice: a dvice@fppr-Ca.&Ov (866/275-3772) www,fooc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 1111 NAME I.D. NUMBER Vote Michelle Shoresman for SLO City Council 2022 General Purpose Comtriittec 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 ACTIVITY 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 CODEIPHONE ❑ /I Date q-IIP&d id ate, o I der, or po ne Int certify that a I I of the fol low ing cond iti o ns 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 (A u gust/ 2 018 FPPC Advice: 1)civice@fppc.ca.sov (866/275.3772 www.fppc.ca.gov