HomeMy WebLinkAboutFlickinger - 410 - 06-19-2018 Initial - not yet qualifiedStatement of Organization Date Stamp
Recipient Committee
Statement Type ® Initial ❑ Amendment ❑ Termination —See Part 5 RECEIVE
Not yet qualified
or
O Date qualified as committee .1 / / / `
Date qualified as committee Date of termination S LO CITY CLERK
1 1
1. Committee Information I.D. Number (!f applicable) 2. Treasurer and Other Principal Officers
NAME OF COMMITTEE
Flickinger for Council 2018
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
San Luis Obispo CA 93401
MAILING ADDRESS (IF DIFFERENT)
EMAIL ADDRESS (R=4UIREDj 1 FAX IOPTIONAi)
flickingerforcouncil20l8@gmail.com
COUNTY 0° OOWICILE JUR:SD:CTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo ity of San Luis Obispo
Attach additional information on appropriately labeled continuation sheets,
April Dury
STREET ADDRESS (NO P.O. BOX)
For 01)k. �, Use Only
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Arroyo Grande
CA
93420
NAME OF ASSISTANT TREASURER, IF ANY
Sarah Flickinger
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
San Luis Obispo
CA
93401
NAME OF PRINCIPAL OFFICER(S)
Sarah Flickinger
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
STATE MEASURE PRDPONEN-.
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA
Recipient Committee ; „ 411
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Flickinger for Council 2018
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Union Bank 1805-283-5140
ADDRESS
CITY
STATE ZIP CODE
995 Higuera Street San Luis Obispo CA 93401
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 "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
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION
Primarily formed to support or oppose specific candidates or measures in a single election. List below;
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Nonpartisan
Partisan
(list political party below)
Sarah Flickinger
San Luis Obispo City Council
2018IZI
1:1
Nonpartisan
Partisan
(list political party below)
E
El
Primarily formed to support or oppose specific candidates or measures in a single election. List below;
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Flickinger for Council 2018
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 ❑ Political Party/Central Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO, AND STREET
❑ /,
Date quallRed
CITY
yDU5TRY GROUP OR AFFILIATION OF SPONSOR
Page 3
STATE ZIP CODE AREA CODE/PHONE
S. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions 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 (February/2018)
Clear Page Print FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov