HomeMy WebLinkAboutFlickinger - 410 - 08-20-2018 Amendment SOSStatement of Organization
Recipient Committee
Statement Type ❑ Initial
0 Not yet qualified
or
0 Date qualified as committee
! 1
1. Committee Information
NAME OF COMMITTEE
Flickinger for Council 2018
ZVI
® Amendment ❑ Termination — See Part
08 14 2018 SLO ir ��pLE
Date qualified as committee Date of termination
I.D. Number
(if applicable) 1406806
STREET ADDRESS (NO P.O BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
San Luis Obispo
MAILING ADDRESS (IF DIFFERENT)
CA 93401 805-215-2561
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
flickingerforcouncil20l8@gmail.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo ity of San Luis Obispo
Date Stamp
'EIVED AND F1
office of the Secretary o.
of the State of California
AUG 2 0 2018
2. Treasurer and Other Principal Officers
NAME OF TREASURER
April Dury
STREET ADDRESS (NO PO BOX)
For Official Use Only
CITY STATE ZIP CODE AREA CODE/PHONE
Arroyo Grande CA 93420
NAME OF ASSISTANT TREASURER, IF ANY
Sarah Flickinger
5I REET ADDRESS (NO RO 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)
Attach additional information on appropriately labeled continuation sheets, CITY STATE ZIP CODE AREA CODE/PHONESan Luis Obispo CA 93401
j. Verification �
I have used all reasonable diligence in preparing
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
By
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
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Flickinger for Council 2018
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Union Bank
ADDRESS
AREA CODE/PHONE
805-283-5140
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
995 Higuera Street San Luis Obispo CA 93401
4. Type of Committee Complete the applicable sections.
Page 2
I.D. NUMBER
1406806
• 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 CHECK ONE
Nonpartisan Partisan (list
Sarah Flickinger San Luis Obispo City Council 2018 't
Nonpartisan Partisan (list
El
Primarily Formed Committee 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
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
party
party
CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
❑ ❑
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
Page 3
COMMITTEE NAME I.D, NUMBER
Flickinger for Council 2018 1406806
4. Type of Committee (Continued)
General Purpose Committee 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 SPUNSUR
�IKttl ADORtSS ND. AND STREET
Date qualified
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
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.
Clear Page Print FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov