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HomeMy WebLinkAboutAndrew Carter Form 410 - Initial Statement 06-25-2015Statement of Organization STATEMENT OF ORGANIZATION Type or print in ink Date Stamp Recipient Committee 0. 1 � Statement Type ® Initial Not yet qualified ❑ or 06 , 25 , 12 Date qualified as committee ❑ Amendment ❑ Termination — See Part 5 List I.D. number: List I.D. number: JUN 252012 J —J —J I— Date qualified as committee Date of Termination (If applicable) 1. Committee Information 2. Treasurer and Other Principal Officers NAME OF COMMITTEE NAME OF TREASURER - Carter for Mayor 2012 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE San Luis Obispo CA 93401 MAILING ADDRESS (IF DIFFERENT) OPTIONAL: FAX /E- MAILADDRESS ancarter @aol.com THAN COUNTY OF DOMICILE San Luis Obispo Attach additional information on appropriately labeled continuation sheets. Andrew Carter STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 NAME OF ASSISTANT TREASURER, IF ANY STREETADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE NAME OF PRINCIPAL OFFICER(S) Andrew Carter STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 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. perjury under the laws of the State of California that the foregoing is true 1 certify under penalty of By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Aprip2011) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Carter for Mayor 2012 4. Type of Committee Complete the applicable sections. • 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 "non - partisan" • If this committee acts jointly with another controlled Committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Andrew Carter Mayor, City of San Luis Obispo 2012 © Non - Partisan ❑ Non - Partisan • List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) Heritage Oaks Bank ADDRESS 1135 Santa Rosa Street AREA CODE /PHONE 805- 269 -4114 San Luis Obispo STATE ZIP CODE CA 93401 • . , Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECKONE FPPC Form 410 (April/2011) FPPC Toll -Free Helpline: 8661ASK -FPPC (86612753772) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Carter for Mayor 2012 4. Type of Committee (Continued) Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY EMEMEMEMList additional sponsors on an attachment. STATEMENT OF ORGANIZATION Page 3 111:1W ❑ ___JJ Date qualified 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following condifions 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 (Apri112011) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Statement of Organization Recipient Committee YMorprint lnInk ^)� \� Date Slurp RE cEivF ". Statement Type ®Initial ❑ Amendment ID fh ❑ Termination —See Parts Office of the _- Of the State A�; NIrty19cuetfiell0 or Ud to number. List I.D. number. ., n JUN 2 8 2p12 DEB r� yryp PwnV Y'I Date qualified as committee Date qualified a; committee m eppllabla Date ofmarrinilan - cretary of ± 1. Committee Information 2. Treasurer and Other Principal Officers NAME OF COMMITTEE NAME OF TREASURER Carter for Mayor 2012 Sr ADDR 5 (NO P.O. BOX) CITY 93 STATE CODE San Luis Obispo CA 93401 MAIUNO AUDRESS (IF DIFFERENT) OPTIONAL FAXTEMAILAOORESS COUNTY OF OOMICIIE COUNTY MERE COMMITTEE 15 ACITRE IF DIFFERENT THAN COUNTY OF DOMICILE San Luis Obispo Attach additional olemiefion on appropriately labeled continuation sheets Andrew Carter STATEMENT OF ORGANIZATION STREET ADDRESS (NO P.O. BOX) 1- CRY STATE ZIPCODE ARSACOINDPHONE San Luis Obispo CA 93401 — NAME OF ASSISTANT TREASURER, IFANY STREETADDRESS(NO P.O. BOX) CITV STATE ZIP CODE AREACODEPHONE NAME OF PRINCIPAL OFFICER(S) Andrew Carter STREET ADDRESS (NO P.O. BOX) CRY STATE LP CODE AREACOOEIPHONE San Luis Obispo CA 93401 3. Verification I have used all reasonable diligence in preparing this statement and t0 the beat of my knowledge the information contained herein is true and complete. I certify under penalty of pequry under the laws of the State of California that the foregoing is true and correct. Executed on 06125112 By juaWTURELOF TREASURER OR ASNSTgMTREASURER Executed On 06/25/12 By DATE SIGNATURE OF COmROLLmG OFFICEWLDER. OANDIDATE OR STATE MEASURE PROPONENT Executed on By DAIS SIGNATURE OF CONTROLLING CCFICEHOmMa CANDIDATE, OR STATE MEASURE PROPONENT assured GR By ' DATE 91GNANREOF CONTRRUHG OFFICEHOLDER. CANDIDA 1, OR S A EPROP FPPC Form 410 (Apn 2011) FPPC Toll -Free Helpline: 866lASK-FPPC (8661275.0Pr2) T Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Carter for Mayor 2012 I "'- 4. Type of Committee Comple+e me applicable sections. • List the name of each controlling officeholder, Candidate, orstatemeasureproponent 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 "non -partisan.' • If this mmmidee ads jointly with another controlled committee, list the name and identification number of the other controlled commitlee- ELECTIVE OFFICE SouGIir OR HELD unuc nF r.AWn1rnATF/1FRC.eAOL3SRJSTATE MEASURE PROPONENT ONCLUUE DISTRICT NUMBER IF APPUCABLP) VEAROFELEGnON PARR' Andrew Carter Mayor, City of San Luis Obispo 2012 ® Nen-p'dRAaO ❑ Non -Partisan List the financial institution where the campaign bank amount is located (controlled "candidate election committees only) Heritage Oaks Bank San Luis Obispo CA 93401 WIf6iI1MY11e� FrInodyformad to support or oppose specific candidates or measures In a single election. List below[ CANDIDATE(a) NAME OR MEASURE(S) FULLTITLE (INCLUDE EALLOT NO.OF LETTER) FPPC Form 410 (Apdg2011) FPPC Toll -Free Helpliae: NWASK-FPPC (10e612753172)