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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