HomeMy WebLinkAboutSLOVoice Referendum for Airport Safety and Open Space - Form 410 - 12-11-14Statement of Organization
Recipient Committee
Statement Type ❑ Initial ❑ Amendment
❑ Termination —See Part 5
Not yet qualified ❑ or List I.D. number: List I.D. number:
#1373557 #
/ / 12 /11 /2014
Date qualified as committee Date qualified as committee Date of Termination
(If applicable)
1. Committee I
NAME OF COMMITTEE
SLOVoice Referendum for Airport Safety and Open Space
STREET ADDRESS (NO P.O. BOX)
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
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE
San Luis Obispo City of San Luis Obispo
Attach additional information on appropriately labeled continuation sheets.
Date Stamp
DEC 1 2014
C _
For Official Use Only
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Kevin P. Rice
STREETADDRESS (NO P.O. BOX)
333 Luneta Dr
CITY STATE
ZIP CODE
AREA CODE /PHONE
San Luis CA
93405
(805)602 -2616
NAME OF ASSISTANT TREASURER, IF ANY
STREETADDRESS (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 (
3. verltication
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 f Ding is true an orre
Executed on 12/11/2014 By
DATE NATURS i3FT ASUR ISTA NTTREASURER
Executed on 12/11/2014 By
DATE SIG ATURE O CO OLLI OFFICEHOLDE , NDI DATE, 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
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I D NUMBER
SLOVoice Referendum for Airport Safety and Open Space 1373557
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
FOUNDERS COMMUNITY BANK
ADDRESS
AREA CCDE/PHONE
(805 )543 -6500
CITY
BANK ACCOUNT NUMBER
/01LlW
STATE ZIP CODE
237 HIGUERA 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.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
❑ Nonpartisan
❑ Nonpartisan
Formed Primarily Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
Measure _ -2014 Referendum challenging Ordinance No.
CITY OF SAN LUIS OBISPO
SUPPORT
OPPOSE
EL
1610 Series
IPQO R'
SUUT
O
(2014 ) establishing an airport overlay zone
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 Referendum for Airport Safety and Open Space 1373557
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
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
Smo// Contributor Committee
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