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Home My WebLink AboutSLOVoice for referendum against airport overlay zone ordinance - Form 410 Initial - 11-05-14Statement of Organization Recipient Committee Statement Type ® Initial ❑ List I.D. number: Date qualified as committee Date qualified as committee Date of Termination (If applicable) NAME OF COMMITTEE SLOVoice for referendum against airport overlay zone ordinance STREET ADDRESS (NO P.O. BOX) 333 Luneta Dr CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo 93405 (805)242 -2619 MAILING ADDRESS (IF DIFFERENT) c/o Kevin Rice PO Box San Luis Obispo CA 93406 -4107 FAX / E -MAIL ADDRESS kevin @slovoice.org COUNTY OF DOMICIL€ JURISDICTION WHERE COMMITTEE IS ACTIVE San Luis Obispo City of San Luis Obispo Attach additional information on appropriately labeled continuation sheets. NAME OF TREASURER Kevin P. Rice STREET ADDRESS (NO P.O. BOX) Date Stamp NOV 05 2014 �T For Official Use Only CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 ( NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE 21P CODE AREA CODE /PHONE NAME OF PRINCIPAL OFFICER(S) Kevin P. Rice STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 ( 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 i hat thXfr tr nd correct. Executed on 11/05/2014 By DATE 3025, OF TREASURER OR ASSISTANT TREASURER Executed on 11/05/2014 By DATE SiGINATURE 6F CO O EHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT 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 CALIFORNIA t Recipient Committee • - INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER SLOVoice for referendum against airport overlay zone ordinance • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION =1-9 ADDRESS 4. Type of Committee Complete the applicable sections. BANK ACCOUNT NUMBER CITY STATE ZIP CODE • 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. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY aim" 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 (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) fHFfK f)NF FPPC Form 410(Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SUPPORT F] OPPOSE El SUP RT OPP03E 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 Page 3 COMMITTEE NAME I.D. NUMBER SLOVoice for referendum against airport overlay zone ordinance 4. Type of Committee (Continued) Not formed to support or oppose specific candidates or measures in a single election. Check only one box: m CITY Committee [:]COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Support referendum against airport overlay zone ordinance; oppose over - development, traffic, pollution; promote airport safety List additional sponsors on an attachment. NAMEOFSPONSOR USTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE Date qualified 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(Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee Statement Type m Initial Not yet qualified ® or Date qualified Date Stamp ❑ Amendment ❑ Termination — See Part 5 For Official Use only List I.D. number: List I.D. number:. CEIVED AND FILED RECEIVED In he office of the Secretary of State # # of tho Stara rg California DECO 12014 NOV 10 2014 S �, C1� CLE Date qualified as committee Date of Termination (If applicable) 1. Committee Information NAME OF COMMITTEE SLOVoice for referendum against airport overlay zone ordinance STREET ADDRESS (NO P.O. BOX) 333 Luneta Dr CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 (805)242 -2619 MAILING ADDRESS (IF DIFFERENT) c/o Kevin Rice PO Box 14107, San Luis Obispo CA 93406 -4107 FAX / E -MAIL ADDRESS kevin@slovoice.org COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE San Luis Obispo City of San Luis Obispo Attach additional information on appropriately labeled continuation sheets. 2. Treasurer and Other Principal Officers NAME OF TREASURER Kevin P. Rice STREET ADDRESS (NO P.O. BOX) 333 Luneta Dr CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 (805)602 -2616 NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE NAME OF PRINCIPAL OFFICER(S) Kevin P. Rice STREET ADDRESS (NO P.O BOX) 333 Luneta Dr CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 (805)602 -2616 3. Verification I hate 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 Califarpi,a4hat the f r tr nd correct. Executed on 11/05/2014 By DATES RE OF TREASURER OR ASSISTANT TREASURER Executed on 11/05/2014 By �22 DATE S! ATURE 34111 IKq EHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE Executed on DATE By By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT 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 CALIFORNIA 1 Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER SLOVoice for referendum against airport overlay zone ordinance • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION No ADDRESS 4. Type of Committee Complete the applicablesections. CITY BANK ACCOUNT NUMBER STATE ZIP CODE • 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 ❑ Nonpartisan ❑ Nonpartisan 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 (INCLUDE DISTRICT NO., CITY OR COUNTY. AS APPLICABLE) - - SUPPORT F-1 OPPOSE El SLIL...JT OPPOSE 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 I.D. NUMBER SLOVoice for referendum against airport overlay zone ordinance 4. Type of Committee (Continued) Not formed to support or oppose specific candidates or measures in a single election. Check only one box: m CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Support referendum against airport overlay zone ordinance; oppose over - development, traffic, pollution; promote airport safety List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET Small Contributor Committee Date qualified CITY GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE 5. Termination R"equ.[rements By signing theveriffration, the treasurer, assisrari, treasurer and/or candidate, officeholder, or proponerit 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(Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov