HomeMy WebLinkAboutCarlyn Christianson - Form 410 - Termination - 12-19-14Statement of Organization
Recipient Committee
Statement Type ❑ initial ❑ Amendment
Not yet qualified ❑ or List I.D. number:
Date Stamp
0 Termination — See Part 5
List I.D. number:
1367453
12 /19 2014
Date qualified as committee Date qualified as committee Date of Termination
(N applicable)
Committee Information
NAME OF COMMITTEE
Carlyn Christianson for City Council 2014
STREET ADDRESS [NO P.O. B=
CITY STATE ZIP CODE AREA CODE /PHONE
San Luis Obispo CA 93401 (
MAILING ADDRESS (IF DIFFERENT)
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.
2. Treasurer an
NAME OF TREASURER
Jeri Carroll
STREET ADDRESS (NO P.O. BOX)
rs
For Official Use Only
DEC 2 3 2014
CITY STATE ZIP CODE AREA CODE /PHONE
San Luis Obispo CA 93401 (
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICERS),
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE /PHONE
3. Verification ,,rr}}
I have used all reasonable diligence in preparing this statement and to the best of m now ledge the'ir4formation contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the f ing is tr d correct. '
Executed on-/ f 9 — �� /�By
DATE SIGNA EASURERDRASVSTANTTREASUEIER
"� h
Executed on _ t a r, i I By SS
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR SPATE MEASURE PROPONENT
FPPC Form 410(Dec /2012)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov