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HomeMy WebLinkAboutCitizens for Measure G - Form 410 - Initial - 07-09-14Statement of Organization Recipient Committee Statement Type 0 Initial ❑ Amendment Not yet qualified ❑ or List I.D. number: 07 /09 /2014 Date qualified as committee Date qualified as committee I II applicable) 1. Committee Information NAME OF COMMITTEE CITIZENS FOR MEASURE G STREET ADDRESS (NO P.0 BOX) ❑ Termination — See Part 5 List I.D. number! CITY STATE ZIP CODE AREA CODE /PHONE SAN LUIS OBISPO CA 93401 MAILING ADDRESS I1F]IP zl Vi7i SAN LUIS OBISPO, CA 93401 FAX / E-MAIL ADDRESS COUNTY OF DOMICILE I JURISDICTION WHERE CO%*, %11TTEE IS A ^IYE SAN LUIS OBISPO SAN LUIS OBISPO Attach additional information on appropriately labeled continuation sheets. 1 -/ Date of Termination Date Stamp .UL 0 9 2014 2. Treasurer and Other Principal Officers NAME OF TREASURER HILLARY TROUT STREET ADDRESS (NO P.O BOX) For Official Use Only CITY STATE ZIP CODE AREA CODE /PHONE SAN LUIS OBISPO CA 93401 ( NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O _•G -' CITY STATE ZIP CODE AREA CODE /PHONE NAME OF PRINCIPAL OFFICER(S) SEE CONTINUATION SHEET STREET ADDRESS (NO P.0 F•`1i � C'TY STATE ZIP CODE • IiACOD €/P NONE 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 Cali or iarthat the foregoing is true and correct. Executed on 07/0912014 DATE SIGNATUR€Oi TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE 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 Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME CITIZENS FOR MEASURE G • M committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREACOWJMWW DANK ACCOUNT NUM8Eq COAST NATIONAL BANK 1(805)541-0400 1101023818 ADDRESS C" STATE 2W CODE 500 MARSH STREET SAN LUIS OBISPO CA 83401 4: Typ! QUC0171 rditiee 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." • 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 IF APPLICAaLE) NEAR OF ELECTION PARTY Primarily formed to support or oppose specific candidates or measures In a single election. List below: CANDIDATEU:) NAME OR MEASUREIS) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION UNCLUDE DISTRICT NO., CITY OR COUNTY( AS APPLICABLE) plEXONE BALLOT MEASURE G -14 SUPPORT © OPPOSE 0 in O FPPC Form 410 (Dec/2012) FPPC Advice: adWce@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE CITIZENS FOR MEASURE G L Type of Committee (Conftwd) 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 DESCRWTION OF ACTIVITY COMMITTEE SUPPORTING MEASURE G -14 FOR 1/2 PERCENT SALES TAX RENEWAL FAME OF SPONSOR Ust additional sponsors on an attachment. AFFIUATNMI OF SPONSOR NO. ANO STREET CITY STATE LP CDDE 1 -r -1 Dm 4now pops 5. `T rminition Requlrenfleilts M sl tln8 the veil oll,"treasurer; as5kSb �t tr�,rer a.1 MOW, cwoSdate, Areltcm «proponenteutiy0w ap of tfietoiiowri6 co�ir ions nave t1061 IT!!C • 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(Dec/2012) FPPC Advice: adMce@fppcca.gov (866/275 -9772) www.fppcxa.gov CALIFORNIA FORM 410 CONTINUATION SHEET NAMES OF PRINCIPAL OFFICERS PRINCIPAL OFFICER: PIERRE RADEMAKER STREET ADDRESS: 1041 CHORRO STREET #230 CITY: SAN LUIS OBISPO STATE: CA ZIP CODE: 93401 AREA CODE /PHONE: (805) 544 -7774 PRINCIPAL OFFICER: STREET ADDRESS: CITY: STATE: ZIP CODE: AREA CODE /PHONE: CLINT PEARCE 284 HIGUERA STREET SAN LUIS OBISPO CA 93401 (805) 748 -9097 PRINCIPAL OFFICER: ANDREA PEASE STREET ADDRESS: 2410 LEONA AVENUE CITY: SAN LUIS OBISPO STATE: CA ZIP CODE: 93401 AREA CODE /PHONE: (805) 235 -6355 END OF CONTINUATION SHEET