HomeMy WebLinkAboutLewis - Form 410_2024-07-31_RedactedStatement of Organization Date Stamp , • _Al JW I J
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Statement Type RECEIVED For Official Use Only
YPal El Termination —See Part 5
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qualification threshold met Date qualification threshold met Date of termination
SLO CITY CLERK
1. Committee InformationI.D. Number2. Treasurer and Other Principal Officers
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NAME OF COMMITTEE �^ TS
RE SURER I �
no e l i CA is lQ,u�i s 24 C� W� 4 �SSINOPO CITY STATE ZIP CODE
EMAIL ADDRESS OFTREASLRER (REQUIRED) AREA CODE/PHONE
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NAME OF ASSISTANT TREASURER. IF ANY
S�CITY 11 1 , . STATE ZIP CODE AREA CODE/PHON^EE 1
�1 S ��' OB401 ~I 1 O 1 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE
FULL MAILING ADDRESS (IF DIFFERENT)
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE
E-MAIL ADDRESS OF COMMITTEE (REQUIRED)/ FAX (OPTIONAL)
t+V(S (rCi1 a ( 1 (�C/ NAME OF PRINCIPALOFFICERIS)
COUNTY OF DOMICILE JURISDICTION WAERE COMMITTEE 15ACTIVE
LIC) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE
EMAIL Attach additional information on appropriately labeled continuation sheets. ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODEIPHONE
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 St a oing is tru
Executed on �"T By
0 'E SIGNATURE OF TREASURER OR ASSISTANTTREASURER
Executed on26?BY
OAF 4S."UR,F CONTROLLING OFFICE HDI DER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE, ANDIOATE, OR STATE MEASURE PROPONENT
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Executed on By
11 nATI SIGNATUREOF CONTROLLING OFFICENOLDER. CANDIDATF. OR STATF MEASURE PROPONENT
FPPC Form 410 (October/2023)
FPPC Advice: advice0fpnc.ca.J7ov (866/27S-3772)
www.foac.ca.eov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON RLVERSE
Page 2
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COMMITTEE NAM I\/ �1 i cGa � I s IO2 I C► �o�C-1 l
• All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records.
NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO URIAIN BANK RECORDS AREA CODE/PHONE BANK ACCOUNT NUMBER
ADDRESS OF FINANCIAL MINTITUTION
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CITY
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• 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 OF PARTY
u AnAr nr rAuninaTF/ncFIr-Fw Or DFR/STATE MEASURE PROPONF%7 hNr u,c rISTRICT NUMBER IF APPLICABLEI ELECTION CHECK ONE
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Non III
Partisan
(list political parry below)
Nonpartisan
Partisan
(list political party below)
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: '
CANDIDATES) NAME OR MEASURF(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATES) 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) CHECK ONE
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FPPC Form 410 (October/2023)
FPPC Advice: advice @fppc.ca.Qov (866/275-3772)
www.fonc.ca.gov