HomeMy WebLinkAboutCarlyn Christianson - Form 410 - Amendment - 07-28-14Statement of Organization
Recipient Committee
Statement Type ❑ Initial 0 Amendment
Nolyetquallfied ❑ or List I D number
41367453
❑ Termination — See Part 5
List 10 number
u
Date Stamp
JUL 2 8 2014
For Official Use Only
/
4 07 24 O C11 ' If / / /
Date qualified as committee Date qualified as committee Date of Termination
(il applicable)
I. Committee Information 2. Treasurer and Other Principal Officers
NAME OF COMMITTEE NAME OF TREASURER
Carlyn Christianson for City Council 2014 Jeri Carroll
STREET ADDRESS (NO PO BOX) STREET ADDRESS IND PO BOX)
CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE
San Luis Obispo Ca 93401 ( San Luis Obispo Ca 93401 (
MAILING ADDRESS (IF DIFFERENT) NAME OF ASSISTANT TREASURER, IF ANY
FAX / E-MAIL ADDRESS
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo San Luis Obispo
Attach additional Information on appropriately labeled continuation sheets.
STREET ADDRESS (NO PO BOX)
CITY STATE ZIP CODE AREA CODE / PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO PO
CITY
STATE ZIP CODE AREA CODE /PHONE
3. Verification I
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 foregoing Is ue and correct
Executed on ' /�� / gy
DATE 1! IGNATUREO TREASURER OR ASSISTANT TREASURER
Executed on 2L 8 ATE T By
DATE y6yg' SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
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(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 I D NUMBER
Carlyn Christianson for City Council 2014 1367453
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Coast National Bank
ADDRESS
ARFA CODE /PHONE
(805)541 -0400
CITY
BANKACCOUNT
101023885
5 TALE ZIP CODE
500 Marsh St. 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 "
• 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 APPLICABLE) YEAR OF ELECTION PARTY
Carlyn Christianson
Council Member, City of San Luis Obispo
2014
17 Nonpartisan
SUVPOPT
❑ Nonpartisan
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) CANDIDATES) OFFICE SOUGHT OR HELD OR MEA5URE(5) JURISDICTION
(INCLUDE DISTRICT NO, CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc ca.gov (866/275 -3772)
www.fppc.ca.gov
SUPPORT
OPPOSE
SUVPOPT
OPVOiF
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc ca.gov (866/275 -3772)
www.fppc.ca.gov