HomeMy WebLinkAboutJohn Ashbaugh - Form 410 - Termination - 01-30-2009-Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee Type orprintinink Date Stamp ,
Statement Type ❑ Initial
Not yet qualified ❑ or
I t
Date qualified as committee
Amendment
List I.D. number:
Date qualified as committee
(If applicable)
K❑ Termination — See Part 5
List I.D. number:
# 1310426
11 30 / 09
Date of Termination
RECEIVED
22
'„ U ,a
SLO CITY CLERK
For Official Use Only
1. Committee Information
2. Treasurer and Other Principal Officers
NAME OF COMMITTEE
NAME OF TREASURER
John Ashbaugh for SLO
Mike Radakovich
STREET ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE
AREA CODE /PHONE
San Luis Obispo CA 93401
805 - 544 -1557
CITY
STATE ZIP CODE AREA CODE /PHONE
NAME OF ASSISTANT TREASURER, IF ANY
San Luis Obispo
CA 93405 805 - 550 -7713
Kyle Goetz
STREET
MAILING ADDRESS (IF DIFFERENT)
ADDRESS
CITY STATE ZIP CODE
AREA CODE /PHONE
OPTIONAL: FAX/ E -MAIL ADDRESS
San Luis Obispo CA 93401
805 - 544 -1557
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
COUNTY OF DOMICILE
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
MAILING ADDRESS
San Luis Obispo
CITY STATE ZIP CODE
AREA CODE /PHONE
Attach additional information on appropriately labeled continuation sheets.
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. I certify under penalty of
perjury under the laws of the State of California that the foregoing is true and correct.
Executed on / ` 3y _ �% By
DATE R ASSISTANT TREASURER
Executed on al By
/ DATW PROPONENT
Executed on B
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
By
SIGWURE OF CONTROLLING H LQ R, CANDTDArE, R STATE MEASURE PR P
FPPC Form 410 (Jan /01)
FPPC Toll -Free Helnline: 866 /ASK -FPPC
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME I.D. NUMBER
John Ashbaugh for SLO 1310426
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 "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
John Ashbaugh
San Luis Obispo City Council
2008
Q Non - Partisan
BANK ACCOUNT NUMBER
First Bank of San Luis Obispo
Non - Partisan
List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION
AREA CODE /PHONE
BANK ACCOUNT NUMBER
First Bank of San Luis Obispo
805 - 733 -2756
ADDRESS
CITY
STATE LIP CODE
San Luis Obispo
CA 93401
• . oil 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 N0. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(s) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
John Ashbaugh
City Council of San Luis Obispo
X
OPPOSE
FPPC Form 410 (Jan /01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
John Ashbaugh for SLO
4. Type of Committee (Continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box-
F)-(] CITY Committee ❑ COUNTY Committee ❑ STATECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
To get John Ashbaugh elected to City Council of San Luis Obispo by promoting his good name.
List additional sponsors on an attachment.
NAME OF SPONSOR
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE
Page 3
1310426
❑ 1 1 Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a small
Date qualified contributor committee on January 1, 2001, enter 1/1/01.
5. Term i nati on Req u i rem e ntS By signing the verification, the treasurer, assistant treasurer and /or candidate, officeholder, or proponent certify that all ofthe 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.
-- Additional filing obligations will be incurred if, after terminating, the committee receives or spends any funds, or receives the forgiveness of a loan,
repayments of loans made to others, or any other receipts.
FPPC Form 410 (Jan /01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC