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Home My WebLink AboutFlickinger - 410 - 03-22-2019 SOSStatement of Organization Reciplient Committee Statement Type ❑ Initial ® Amendment 0 Not yet qualified or Q Date qualification threshold met Date qualification threshold met ❑ Termination —See Pa Date of termination Date Stamp CEIVED AND FILE e office of the Secretary of Sta of the State of California MAR 28 2019 MAY 17 2019 verincamon I have used all reasonable diligence in preparing thip st tem penalty of perjury under the laws of the State of C fo r a t Executed on 03/22/2019 By DATE Executed on 03/22/2019 By DATE Executed on By DATE and to the best of m nowledge the information contained herein is true and complete. I certify under the Leon oing is tr-Rend correct. SIGNATURE OF CONTRO^G OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT SIGNATURE OF CONTR R STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov _/_/_ / // 1. Committee Information I.D. Number 1406806 T2. Treasurer and Other Principal Officers (if applicable) NAME OF COMMITTEE NAME OF TREASURER Flickinger for Council 2022 April Dury STREETADDRESS (NO P.O BOX) 1311 23rd Street STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 1720 Lee Ann Court Oceano CA 93445 805-458-9703 CITY STATE ZIPCODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY San Luis Obispo CA 93401 805-215-2561 Sarah Flickinger FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) 1720 Lee Ann Court E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE flickingerforcouncil2022@gmail.com San Luis Obispo CA 93401 805-215-2561 COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) San Luis Obispo City of San Luis Obispo Sarah Flickinger STREETADDRESS (NO P.O. BOX) 1720 Lee Ann Court Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93401 805-215-2561 verincamon I have used all reasonable diligence in preparing thip st tem penalty of perjury under the laws of the State of C fo r a t Executed on 03/22/2019 By DATE Executed on 03/22/2019 By DATE Executed on By DATE and to the best of m nowledge the information contained herein is true and complete. I certify under the Leon oing is tr-Rend correct. SIGNATURE OF CONTRO^G OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT SIGNATURE OF CONTR R STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME L., NUMBER Flickinger for Council 2022 • 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 0040331603 ADDRESS CITY STATE ZIP CODE 995 Higuera Street San Luis Obispo CA 93401 4. Type of Committee Complete the applicable sections. 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 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) 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) rwme nNF Nonpartisan Partisan (list political party below) Sarah Flickinger City of San Luis Obispo Council Member 2022 0 Nonpartisan Partisan (list political party below) 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) 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) rwme nNF FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SUPPORT OPPOSE SUPPOR T!- FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA' Recipient Committee • - INSTRUCTIONS ON REVERSE Page 3 ::C..MMITTEE NAME I.Q. NUMBER Flickinger for Council 2022 1406806 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 List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO AND STREET ❑ .1 /, Date qualified CITY 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. FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov