HomeMy WebLinkAboutCarlyn Christianson - Form 410 - Termination Statement - 08-27-2013Statement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
03 /12 12013
Date qualified as committee
❑ Amendment
List I.D. number:
#1355988
Date qualified as committee
(If appIIca ble)
1. Committee Information
NAME OF COMMITTEE
Carlyn Christianson for City Council 2013
STREET ADDRESS (NO RO. BOX)
® Termination — See Part S
List I.D. number:
#
06 /30 /2013
Date of Termination
CITY STATE ZIP CODE AREA CODE /PHONE
San Luis Obispo Ca 93401 (
MAILING ADDRESS (IF DIFFERENT)
FAX / E -MAIL ADDRESS
carlynpc @gmail.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo City of San Luis Obispo
Attach additional information on appropriately labeled continuation sheets.
Date Stamp
For Official Use Only
LRECEIVED I K
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Jeri F. Carroll
STREET ADDRESS (NO P.O. BOX)
CITY
San Luis Obispo
STATE
CA
ZIP CODE
93401
AREA CODE /PHONE
(
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO RO. BOX)
CITY
STATE
ZIP CODE
AREA CODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O, BOX)
CITY
STATE
ZIP CODE
AREA CODE /PHONE
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 ore
(
AATF R S1GNArUIR
11AiT: SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
Executed on
DATE
By
OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov