HomeMy WebLinkAboutKevin Rice - Form 410 - Termination - 11-15-2012Statement of Organization
Recipient Committee
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❑ Amendment
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Date qualified as committee Date qualified as committee
(If applicable)
STATEMENT OF ORGANIZATION
® Termination —See Part
List I.D. number:
# 1351201
11 / 15 / 12
Date of Termination
Stamp
[1!01.1 Ii;7
NOV 15 2012
^i —v c
1. Committee Information 2. Treasurer and Other Principal Officers
NAME OF COMMITTEE NAME OF TREASURER
Kevin Rice for City Council 2012
STREET ADDRESS (NO P.O. BOX)
333 Luneta Dr
CITY STATE ZIP CODE AREACODE/PHONE
San Luis Obispo CA 93405 -1521 (805) 602 -2616
MAILING ADDRESS (IF DIFFERENT)
PO Box 14107, San Luis Obispo CA 93406 -4107
)PTIONAL: FAX /E -MAIL ADDRESS
12.com
COUNTY OF DOMICILE
San Luis Obispo
IS ACTIVE IF DIFFERENT
Attach additional information on appropriately labeled continuation sheets.
Kevin Rice
STREET ADDRESS (NO P.O. BOX)
333 Luneta Or
CITY STATE ZIP CODE AREACODE/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 AREACODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIPCODE AREACODE /PHONE
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.
perjury under the laws of the State of California that the foregoing is true al
Executed on November 15, 2012
DATE
Executed on November 15, 2012
Executed on
Executed on
DATE
By
By
I certify under penalty of
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 (86612753772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Kevin Rice for City Council 2012
4. Type of Committee Complete the applicable sections.
STATEMENT OF
1351201
• 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.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE/OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Kevin Rice
Council Member
2012
❑X Non- Partisan
❑ Non - Partisan
• List the financial institution where the campaign bank account is located (controlled "candidate election' committees only)
NAME OF FINANCIAL INSTITUTION AREA COUE /PHONE bANKAu:UUN 11NUW1=K
Coast National Bank 1 (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(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) CHECK ONE
FPPC Form 410 (April /2011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee ' M _' C 1
INSTRUCTIONS ON REVERSE
Page 3
Kevin Rice for City Council 2012 1351201
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
1 , , - . - - List additional sponsors on an attachment.
NAME OF SPONSOR
ADDRESS NO. AND STREET
El
Date qualified
GROUP OR AFFILIATION OF SPONSOR
. IAIL LIVUUUt
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 (April /2011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)