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Home My WebLink AboutDrake - Form 410_2025-01-24_Termination (SOS Copy)_RedactedStatement of Organization I Date Stamp • -K Wo Recipient Committee - Statement Type ❑ Initial Not yet qualified O or 0 Date qualification threshold met ®Amendment Date qualification threshold met 1. Committee information I.D. NumberW-4 1icablPl 146699C NAME OF COMMITTEE Drake for SLO City Council 2024 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA COOE/PHONE Santa Barbara, CA 93101 FULL MAILING ADDRESS (IF E-MAIL ADDRESS OF COMMITTEE (REQUIRED) t FAX (OPTIONAL) COUNTY OF DOMICILE Santa Barbara JURISDICTION WHERE COMMITTEE IS ACTIVE Citv of San Luis Obispo Attach additional information on appropriately labeled continuation sheets [!]Termination - See Part 5 Date of termination 2024-12-16 DIGITALLY RECEIVED AND FILED In the office of the CafNoreia Secretary of State DEC 17 2024 2. Treasurer and Other Principal Officers NAME OF TREASURER Jennifer Cooper For Official Use Only 110 !Io STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE - Santa Barbara, CA 93101 EMAIL ADDRESS OF TREASURER (REQUIR AREA CODE/PHONE MEN — NAME OF ASSISTANT TREASURER IF ANY Monica Intaglietta STREET ADDRESS (NO P.O BOX) CITY STATE ZIP CODE IIIIIIIII Santa Barbara, CA 93101 EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY FMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) STATE ZIP CODE AREA CODEIPHONE 3. Verification _ 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. Dec 17 2024 Executed on By Dec 17 2024 Executed on By Executed on By Executed on By Powered by ISPofiti aLcom SIGNATURE OF TREASURER OR ASSISTANT TREASURER SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT RECEIVED JAN 2 4 2025 SLO CITY CLERK FPPC Form 410 (October/2023) FPPC Advice: advice@fppaca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIAt Recipient Committee - INSTRUCTIONS ON REVERSE Page 2 I. D. NUMBER COMMRTEENAME Drake for SLO City Council 2024 1466996 a All committees must list the financial institution where the campaign bank account Is located and the persons) authorized to obtain bank records. NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS Mechanics Bank ADDRESS OF FINANCIAL INSTITUTION CITY 2276 Broad Street San Luis Obispo, CA 93401 4. Type of Comrsti i AREACODE/PHONE I BANK ACCOUNT NUMBER STATE ZIP CODE 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. a If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. ti AIJC nC nAK1nIn ATi InrrIr`rWnI nF WIZTATF WFACI IGF PPnPnNFNT ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE John Drake City Council Member Nonpartisan Partisan (list po'rt.cal party be:w) 2024 ® ❑ Nonpartisan Partisan (list political parry 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) IF A nrr:A1 I STATF'WFCAI I ' w FRONT OF THE DFFK:FHOI DER'S NAME CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO.. CRY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE ❑ ❑ SUPPORT OPPOSE El❑ FPPC Form 41 D (Octoher2M) FPPC Advice: advice@ippc.ca.gov (861SI775-3772) Powered by ISPoliticaLoom W W W.f ppc.ca.gov Statement of Organization CALIFORNIA410 Recipient Committee - INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I. D. NUMBER Drake for SLO City Council 2024 1466996 Type of Commit ` • ,. .�� Not formed to support or oppose specific candidates or measures in a single election. Check only one box: CtrY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OF AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE • , r-c 5 .T nlf nation Requirements By signng the verdtcation the treasurer assistant ireasurer artdkbr candKlale, nilwemlder. ry proponent reridy that all of the rollownig condltons 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 (Octobed2023) Powered by ISPolitical com FPPC Advice: advice@tppc.ca.gov (BOW275-3772) www.tppc.ca.gov )OIXOdo Sign Audit Trail Ly apryse Document Details Title Please sign the attached 410 File Name Form41OAT_ID1466996JDRAKE.pdf Document ID 84eeefbb693a4f8787baada2be5b19ba Fingerprint 6b0105d7844dd4dOb5a4ddcecac4cl46 Status Document History Document Created Document Created by Jen Coo pe Dec 17 2024 Document Signed by Jen Cooper — Dec 17 2024 Document Signed 4, ; Y Document Sent Document Sent to John Drake Dec 17 2024 l) Q1:^'�5':i ''i Document Viewed Document Viewed by John Drake Dec 17 2024 P: i 6 75 154,175 03'. 2::^A L, [ . DocL —nent Signed by John Drake 54,i?8 Dec 17 2024 Document Signed r,; :{`:<4tO li-C FEM Document This document has been cortpleted. Dec 17 2024 Completed F nge a-:nr.: SbOi? '84:d: dci0h5 tkd ecac-cl.lg 03:J?AM J 1 C P. C.S%Od by xodo sign