HomeMy WebLinkAboutDrake - Form 410_2024-06-26_Amendment No. 1_RedactedRECEIVED
JUN 2 6 �GN
Statement of Organization
Recipient Committee ��-� CITY CLERK
Statement Type ❑ Initial WJ Amendment ❑ Termination - See Part 5
Not yet qualified
or
Q Date qualification threshold met Date qualification threshold met Date of termination
I.D. Number
(4l co'Acobk)
NAME OF CI',AMITTEE
Drake for SLO City Council 2024
CITY
Santa Barbara
FULL MAILING ADDRESS (IF DIF
Date Stamp
DIGITALLY
RECEIVED AND FILED
in the office of the California
Secretary of State
June 13, 2024
- — /---/ - ` L l
1466996 pal Officers
NAME Gr TREASURER
Jennifer Cooper
STREET ADDRESS (NO P.O. BOX) CITY
me Santa Barbara
EMAiL ADDRESS OF TREASURER (REQUIRED)
NAME OF ASSISTANT TREASURER, IF ANY
STATE ZIP CODE AREA CODE/PHONE Monica Intaglietta
CA 93101 STREET ADDRESS (NO P.O. BOX) CITY
-n__ m Santa Barbara
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Santa Barbara City of San Luis Obispo
Attach additional information on appropriately labeled continuation sheets.
NAME OF PRINCIPAL OFFI
STREET ADDRESS (NO P.U. BOX)
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED)
CITY
For Official Use Only
STATE ZIP CODE
CA 93101
AREA CODE/PHONE
STATE ZIP CODE
CA 93101
AREA CODE/PHONE
STATE ZIP CODE
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 Sta of California t atthe foregoing is true and correct.
Executed on Jun 13 2024
BY
EM F SIGNATURE Of TREASURER OR ASSISTAMT TREASURER
txecutedon Jun 13 2024 BY
DATE SIGNATURE OF CONTROLLNG OFFICEHOLDER, CANDIDATE OR STATE MEASURE PROPONENT
Executed On
DATE Buy SIGFIATUREOF CONTROL-l1NC OFFIGEFiOIDER,CJIINaDNTF,OF1561TE MLCSUeE PRO}ONF?!Y
txecuted on BY
DATE WA ATl3Rf DF CONrROI LING OFFICFNOIDFR, CAUMEIATF, OR STATF MFASURF PRAPONF.Ni
FPPC Form 410 (October/2023)
FPPC Advtce: advLWfppc l a.gov (866/275-3772)
vrww.fpac.ca.eev
Statement of Organization CALIFORNIA
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Drake for SLO City Council 2024 1466996
• All committees must list the financial institution where the campaign bank account i; located and the person(s) authorized to obtain bank records.
NAME OF FINANCIAL INSTITUTION AND PERSON(S)AUTHORIZED TO OBTAIN BANK RECORDS AREA CODE/PHONE BANK ACCOUNT NUMBER
Mechanics Bank ° (805) 963-8928
ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE
914 Carpinteria Street Santa Barbara CA 93103
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.
El ECTIVF OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CAN MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHEC( ONE
2024
Nvnp-tisan
Partisan
(list political party below)
John Drake
Councilmember
110f
Nonpartisan
Partisan
(list pofrdCalparry be—)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATEIS) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE'RECALC IN FRONT OF THE OFFICEHOLDER'S NAME-
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLIC.ABI.E)
CHECKONE
SUPPORT O>PUSE
SUPPORT oPPOSF
FPK Form 410(October/2023)
FPPC Advice: advice0faa4.ca aov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee Me"
INSTRUCTIONS ON REVERSE
Page 3
WMMITTEENAME
L (X NWABER
Drake For SLO City Council 2024
1466996
Not formed to sypport or oppose,specific candidates or measures "in a single election. Check only one box-,
❑ CITV Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
5ponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS 140. AND STREET CITY STATE ZIP CODE AREACODE/PHONE
D�tt qur�Fed
5.
• Sy sig--ung thp verificeatiort. the tre-3 wrer. assist3nf treasurer and/or c3rdidate, 01liceheldcr, o., ptloent certi ty thaZ all 0! the fellCving condilions have been rnet;
• 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-
99518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (October/2023)
FPPC Advice: advicePfppc.ca.gov (8%/275-3772)
www.fps_c.ca goV
)OXOdo Sign Audit Trail
by apryse
Document Details
Title Please sign the attached 410
File Name Form 410A Drake for SLQ City Council 2024_1466996.pdf
Document ID 98dlf80fae194f3a97ef3ed21996f92a
Fingerprint 96b825629994446bbb9bfe7781b18379
Status • • -
Document History
Document Created Document Created by Jen Cooper Qen@cicsb.com) Jun 13 2024
Fingerprint: 85a443686c0438cd93eda88cc836a6a6 10:05PM UTC
Document Signed by Jen Cooper Qen@cicsb.com)
I P: 47.150.147.215
Document Signed Jun 13 2024
C"f UL 13:05PM UTC
Document Sent Document Sent to John Drake OohnrobertdanieldrakeCa-)gmail.com) Jun i 32024
10:05;. M UTC
Document Viewed Document Viewed by John Drake oohnrobertdanieldrake@gmail.com) Jun 13 2024
IP: 144,178.0.178 10:22PM UTC
Document Signed by John Drake oohnrobertdanieldrake@gmail.com)
IP: 144.178.0.178
nnr,,mnnt Cinngmd /e Jun 13 2024