HomeMy WebLinkAboutAndrew Carter - Form 410 - Termination - 12-29-2010Statement of Organization STATEMENT OF ORGANIZATION
Type or print in Ink Det;; Stamp
Recipient Committee I %tcfl=t11 r awtr`y _ •'
Statement Type
1.
Is
❑ Initial
Not yet qualified ❑ or
Date qualified as committee
NAME OF COMMITTEE
Carter for Council 2010
❑ Amendment
List I.D. number.
_1_ —f
Date qualified as committee
(If applimlife)
® Termination — See Part 5
List I.D. number:
# 1328372
12 r 16 / 10
Date of Termination
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE /PHONE
San Luis Obispo CA 93401
MAILINGADDRESS (IF DIFFERENT)
OPTIONAL: FAX /E -MAIL ADDRESS
DOMICILE
THAN COUNTY OF
San Luis Obispo
Attach additional Information on appropriately labeled continuation sheets.
the office of the
of the State
DEC 3 1 2010
DEBRA BO' S
Secretary of S
NAME OF TREASURER
Andrew Carter
STREETADDRESS(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 CODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
Andrew Carter
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
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. I certify under penalty of
perjury under the laws of the State of California that the foregoing Is true and correct.
Executed on
12/29/10
DATE
12/29/10
Executed on
DATE
Executed on
DATE
Executed on
By
By
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (June/09)
FPPC Toll -Free Helpllne: 866 /ASK•FPPC (8661275.3772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Carter for Council 2010
4. Type of Committee Complete the applicable sections.
Page 2
1328372
• 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.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATEIOFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Andrew Carter
City Council, City of San Luis Obispo
2010
k 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
San Luis Obispo
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) CHECK
FPPC Form 410 (June/09)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275.8772)
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee Type or print In Ink Date Stamp e , I .
Statement Type
1.
❑ Initial
Notyetqualified ❑ or
Date qualified as committee
NAME OF COMMITTEE
Carter for Council 2010
❑ Amendment
List I.D. number:
Date qualified as committee
(Ifappliceble)
® Termination — See Part 5
List I.D. number:
# 1328372
12 r 16 / 10
Date of Termination
STREETADDRESS(NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
San Luis Obispo CA 93401
MAILINGADDRESS (IF DIFFERENT)
OPTIONAL: FAX /E- MAILADDRESS
San Luis Obispo
Attach additional information on appropriately labeled continuation sheets.
DEC 2 9 2GIO
SLO CITY CLERK
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Andrew Carter
STREETADDRESS(NO P.O. BOX)
STATE ZIP CODE AREA CODE /PHONE
San Luis Obispo CA 93401
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
Andrew Carter
STREETADDRESS(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. I certify under penalty of
perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 12/29/10
DATE
Executed on 12/29/10
DATE
Executed on
Executed on
DATE
By
SIGNATURE OF TREASURER ORASSISTANTTREASURER
By
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (June /09)
FPPC Toll-Free Helpline: 866 /ASK•FPPC (8681275.3772)
Statement of Organization STATEMENTOF
Recipient Committee
INSTRUCTIONS ON REVERSE
Carter for Council 2010 1 1328372
4. Type of Committee Complete the applicable sections.
Irr.�s��►rrrranr)1►n»
• 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 IFAPPLICASLE) YEAR OF ELECTION PARTY
Andrew Carter
City Council, City of San Luis Obispo
2010
® Non - Partisan
❑ Non - Partisan
• List the financial Institution where the campaign bank account is located (controlled "candidate election" committees only)
Heritage Oaks Bank
- - -- —
ADDRESS CITY STATE ZIP CODE
San Luis Obispo 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
IA,nI I,nC nICT�InT AIn no nn, ,,., ncn , n C
FPPC Farm 410 (June /09)
FPPC Toll -Free Helpline: 866/A5K.FPPC (866/275.3772)