HomeMy WebLinkAboutKevin Rice - Form 410 - Initial Statement - 08-30-2012L�Q
Statement of Organization
Recipient Committee
Statement Type ® Initial
Not yet qualified ❑ or
30 , 12
131 I?iol
Type or print in ink
❑ Amendment ❑ Termination — See Part 5 In
List I.D. number: List I.D. number:
Date qualified as committee Date qualified as committee Date of Termination
(If applicable)
1. Committee Information
NAME OF COMMITTEE
Kevin Rice for City Council 2012
STREET ADDRESS (NO P.O. BOX)
333 Luneta Dr
CITY STATE ZIPCODE AREA CODE/PHONE
San Luis Obispo CA 93405 -1521 (805) 602 -2616
MAILING ADDRESS (IF DIFFERENT)
PO Box 14107, San Luis Obispo CA 93406 -4107
OPTIONAL: FAX /E -MAIL ADDRESS.
kevin @rice2012.com
COUNTY OF DOMICILE
San Luis Obispo
COUNTY WHERE COMMITTEE ISACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Attach additional information on appropriately labeled continuation sheets.
�MVED AND is
office of the Secretary
of the State of Califorr
SEP 04 2012
DEBRA BOWE
Secretary of Ste
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Kevin Rice
STREET ADDRESS (NO P.O. BOX)
333 Luneta Dr
STATEMENT OF ORGANIZATION
SEP 172012
CITY
STATE
ZIP CODE
AREA CODE /PHONE
San Luis Obispo
CA
93405 -1521
(805) 602 -2616
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIPCODE
AREA CODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the infor on contained herein is true and complete. I certify under penalty of
perjury under the laws of the State of California that the foregoing is true and correct. _
Executed on August 30, 2012
DATE
Executed on August 30, 2012
DATE
Executed on
Executed on
DATE
By
By
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (April /2011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2753772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
I.D. NUMBER
Kevin Rice for Cit
Council 2012
4. Type of Committee Complete the applicable sections.
Controlled Committee
OF ORGANIZATION
• 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 "non-partisan."
• 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
Kevin Rice
Council Member
2012
i] Non- Partisan
BANK ACCOUNT NUMBER
Coast National Bank
❑ Non - Partisan
• List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION
AREACODE/PHONE
BANK ACCOUNT NUMBER
Coast National Bank
(805) 541 -0400
101021394
ADDRESS
CITY
STATE ZIP CODE
500 Marsh St
San Luis Obispo
CA 93401 -3955
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE($) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
FPPC Form 410 (Apri112011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772)