HomeMy WebLinkAboutPaul Brown - Form 410 - Initial Statement - 02-26-2013Statement of Organization
Recipient Committee
Statement Type
NAME OF COMMITTEE
❑ Initial
Notyetqualified ❑ or
Date qualified as committee
Paul Brown SLO City Council 2013
❑ Amendment
List I.D. number:
IF
//-
Date qualified as committee
(If applicable)
❑ Termination —See Part 5
List I.D. number:
a
Date of Termination
STREET ADDRESS )NO P.O. BOX)
CITY STATE ZIP CODE AREA COD E /PHONE
San Luis Obispo CA 93405 (
MAILING ADDRESS )IF DIFFERENT)
pmbmother @msn.com
San Luis Obispo I City of San Luis Obispo
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing this statement anc
penalty of perjury under the laws of the State of California that the
Executed on 02/26/2013 By
DATE
Executed on 02/26/2013 By
Executed on 02/26/2013 By
DATE
Executed on 02/26/2013 By
DATE
NAME OF TREASURER
Lauren Fogle
STREET ADDRE55 (NO P.O. BOX)
Date Stamp
MAR 0 4 2013
SLO CITY CLERK
For official Use
CITY STATE
ZIP CODE
AREA CODE/PHONE
San Luis Obispo CA
93401
(
NAME OF ASSISTANT TREASURER, IF ANY
Paul Brown
STREET ADDRESS (NO R0. BOX)
-
CITY STATE
ZIP CODE
AREA CODE /PHONE
San Luis Obispo CA
93405
(
NAME OF PRINCIPAL OFFICER(5)
Dan Hinz ( / Michelle
Tasseff (
STREET ADDRESS (NO PO. BOX)
CITY STATE
ZIP CODE
AREA CODE/PHONE
San Luis Obispo CA
93405
to the best of my knowledge
foregoing is true and correct.
true
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
Paul Brown SLO City Council 2013
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
STREET
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
List additional sponsors on an attachment.
9
Dale q.. Hed
AFFILIATION OF SPON50R
Page 3
• 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
INSTRUCTIONS ON REVERSE
Paul Brown SLO City Council 2013
• All committees must list the financial Institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Coast National Bank
ADDRESS
(
CITY
STATE ZIPCODE
San Luis Obispo CA 93401
4.T-- 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
Paul Brown
San Luis Obispo City Council
2013
® Nonpartisan
SUPPORT
❑ Nonpartisan
Primarily formed to support or oppose specific candidates or measures In a single election. List below:
CANDIDATES) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASU RE(Sl JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
FPPC Form 410 (Dec /2012)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
SUPPORT
OPPOSE
SUPPORT
OPn
FPPC Form 410 (Dec /2012)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov