HomeMy WebLinkAboutHarmon - Form 410 - 10-31-2022 Termination_SOS'1469389
Statement of Organization
Recipient Committee
Statement Type D Initial
O Not yet qualified
or
O Amendment [!] Termination -See Part 5
Rl;CEfV~ •rro flLi:
In itie office of di• len11ry oflti
of the Stitt of C1IWoml1
OCT 11 2022
. CALIFORNIA 41 Q
FORM
For Official Use Only
O Date qualified as committee
Date qualified as committee
~ 20 1 2022
Date of termination
RECEIVED
OCT 31 2022 ___ _, ___ _,_ t
1. Committee Information
, NAME OF COMMITTEE
Heidi Harmon for Mayor ·2020
STREET ADDRESS (NO P.O. BOX)
CITY
San Luis Obispo
MAILING ADDRESS (IF CIFFERENT)
E-MAIL ADDRESS (REQUIRED) J FAX (OPTIONALj
heidiismighty@gmail.com
COUNTY OF DOMICILE
1.D. Number
(if applicable)
STATE ZIPCOCE
1388334
CA 93405
JURISDICTION WHERE COMMITTEE IS ACTIVE
AREA CODE/PHONE
(
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Tim Jouet
CITY
San Luis Obispo
NAME OFASSISTANTTREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
CA
STATE.
STATE
ZIP CODE
ZIP CODE AREA CODE/PHONE
ZIP CODE
-Attach additional information on appropriately labeled continuation sheets.
AREA CODE/PHONE
3-:-Verificano n
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. I certify under
penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 9/28/2022
DATE
Executed on 9/28/2022
DATE
Executed on
DATE
Executed on
DATE
By Tim Jouet ~ /~ ,,.,
. By~=:z:::::::::;:==== SIGNA1URE OF CONTROLLING OFRCEHOLDER, CANDIDATE, OR STATE MEASURE PKUPUNENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By=====::::::=~= FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
..
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Heidi Harmon for Mayor 2020
CALIFORNIA 410
FORM
Page 2 Page 2 of 3
1,0. NUMBER
1389334
• All committees must list the financial institution where the campaign bank account Is located.
NAME OF FINANCIAL INSTITUTION AREACODE/PHONc BANK ACCOUNT NUMBER
Union Bank ( 805) 783,-5140
ADD RE SS CITY STATE ZIP CODE
995 Higuera Street San Luis Obispo CA 93401
4. Type of Committee Complete the applicable sections.
Controlled Comm,ttee
• 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 anc identification number. of the other controlled committee.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELO
(INCLUDE DISTRICT NUMBER If APPLICABLE)
YEAR OF
ELECTION
PARTY
CHc CK ONE -.
Mayor: City ,:,f San Luis Obispo Nonpartisan Partisan (llrt poli tica l party be low )
Heidi Harmon x
Nonpartisan Partisan (list politi cal party be low)
Primanly Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANOIDATE(S) 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) =HECK ONE ]~ I SUPPORT J O~OSE
I "" ,.. .· -~ -I SUPPO~T I OPPOSE
\.,J ·~,J J .. ,. ,
l/ ,.. ::; ~-:···; .. ··· l :",·:f '1C,tP '~
.. r ... ,. ~.1· ;.,-.. . . . . ;: · '. . ,, ., 1. FPPC Form 410 tfebruary/2018) H· .1h .............. ., ,:;, ~I , ... ; 1,., . .
, _; r, · ~ · 1 ,. c i , -( , f PP C Ad vice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITIHNAME
Heidi Harmon for Mayor 2020 I 1388334
4. Type of Committee (Continued)
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
D CITY Committee D COUNTY Committee D STATE Committee O Political Party/Central Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
'>por1sared Comm ,ttee 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 CODE/PHONE
Small Contnbuto r Committee D -
Date quallfod
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been met:
• 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 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov