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HomeMy WebLinkAboutNo on G San Luis Obispo 2014 - Form 410 - Termination - 11-24-14Statement of Organization Recipient Committee Statement Type ❑ initial ❑ Amendment ®Termination —See Part 5 Not yet qualified ❑ or List I.D. number: List I.D. number: 1370781 1 11 /12 /2014 Date qualified as Committee Date qualified as committee Date of Termination (If applicable) 1. Committee NAME OF COMMITTEE NO ON G SAN LUIS OBISPO 2014 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE SAN LUIS OBISPO CA 93405 ( MAILING ADDRESS (IF DIFFERENT) SAN LUIS OBISPO CA 93406 -4107 FAX/ E -MAIL ADDRESS COUNTY OF DOMICILE JURISDICTION INHERE COMMITTEE IS ACTIVE SAN LUIS OBISPO I CITY OF SAN LUIS OBISPO 2. Treasurer and NAME OF TREASURER KEVIN P. RICE STREET ADDRESS (NO P.O. BOX) Date Stamp NOV 2 4 2014 For Official Use Only CITY STATE ZIP CODE AREA CODE /PHONE SAN LUIS OBISPO CA 93405 ( NAME OF ASSISTANT TREASURER, IF ANY LESLIE HALLS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE SAN LUIS OBISPO CA 93405 ( NAME OF PRINCIPAL OFFICER(S) KEITH GURNEE Attach additional information on appropriately labeled continuation ADDRESS (NO P.O. BOX) on sheets. CITY STATE ZIP CODE AREA CODE /PHONE SAN LUIS OBISPO CA 93405 ( 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 California that e foregoing is and correct. Executed on 11/12/2014 By DATE TUR..E bfTREASURER OR ASSISTANT TREASURER Executed on 11/12/2014 By ' DATE SIG ATURE TROLLING OFREHOLDER, CANDVATE. OR STATE MEASURE PROPONENT Executed on 11/12/2014 By DATE Executed on 11/12/2014 DATE By OFgB1PVCVNG7OVi ALDER, CANDfDATE OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410(Dec /2012) FPPC Advice: advice &ppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization CALIFORNIA 411 Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER NO ON G SAN LUIS OBISPO 2014 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION COAST NATIONAL BANK ADDRESS AREA CODE /PHONE (805)541 -0400 CITY BANK ACCOUNT NUMBER STATE 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 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) rucric nuc MEASURE G -14 Essential Services Transaction (Sales) CITY OF SAN LUIS OBISPO SUPPORT OPPOSE "Um ars€ o III and Use Tax 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 NO ON G SAN LUIS OBISPO 2014 4. Type of Committee (Cont nued) • • 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 Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE Date qualified 5. 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 ,I. Committee 1 NAME OF COMMITTEE ❑ Initial Not yet qualified ❑ or Dat�ified sa committee n NO ON G SAN LUIS OBISPO 2014 STREET ADDRESS (NO P.O. BOX) ❑ Amendment List I.D. number: Date qualified as committee (If applimble) ® Termination — See Part 5 List I.D. number: lt 1370781 11 f12 /2014 Date of Termination 108 BROAD ST CITY STATE ZIP CODE AREA CODEIPHONE SAN LUIS OBISPO CA 93405 (805)664 -0850 MAILING ADDRESS (IF DIFFERENT) PO BOX 14107 SAN LUIS_ OBISPO CA 93406 -4107 FAX / E-MAIL ADDRESS contact @slomeasul COUNTY OF DOMICILE SAN LUIS OBISPO com 1Uttu UR.I IUN WHERE CUNIMITTEE IS ACTIVE CITY OF SAN LUIS OBISPO Attach additional information on appropriately labeled continuation sheets. Date Stamp ECEIVED AND FILE in 1 le office of the Secretary of the of State Of NOV 262014 DEBRA BOWEN, Pecretary of State Treasurer and other Principal 6{fi(cers NAME OF TREASURER KEVIN P. RICE STREET ADDRESS (NO P.O. BOX) 333 LUNETA DR DEC 15 2014 SLO CITY CLERK CITY STATE ZIP CODE AREA CODE /PHONE SAN LUIS OBISPO CA 93405 (805)602 -2616 NAIVIt UY ASSU IAN I I REASURER, IF ANY LESLIE HALLS STREET ADDRESS (NO P.O. BOX) 1359 OCEANAIRE DR CITY STATE ZIP CODE AREA CODE/PHONE SAN LUIS OBISPO CA 93405 (805)543 -7330 NAME OF PRINCIPAL OFFICER(S) KEITH GURNEE STREET ADDRESS (NO P.O. BOX) 108 BROAD ST CITY STATE ZIP CODE AREA CODE /PHONE 3. Verification SAN LUIS OBISPO CA 93405 (707)696 -2737 (� _ _ 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 the fore ing is true and rrect. Executed on 11/12/2014 By DATE - GNATURE OF TR R OR ASSISTANT TREASURER Executed on 11/12/2014 By Y SIG ATll RE 0 ONTRQLLlNG OF HOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on 11/12/2014 B DATE Y f SIG F TRO FFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on 11/12/2014 By DATE SIGNATURE OF CANT OLLING 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 Page 3 :OMMITTEE NAME - NO ON G SAN LUIS OBISPO 2014 I.D. NUMBER of Committee (Cant -mupa) Purpose General 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 31 —I AUUKtq�. NO. AND STREET Small Contributor Committee Date CITY INDUSTRY GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE 5. Termination Regulrerhenti ., By sign n,g the verification, the treasurer, assistant treasurer and /or candidate, officeholder, or proponent certify that all of the fallowing condition 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 maybe 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