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HomeMy WebLinkAboutPaul Brown - Form 410 - Termination - 12-10-2008Statement of Organization Recipient Committee Statement Type [] Initial Not yet qualified ❑ or I - Date qualified as committee 1. Committee Information 3. Type or prkd in Ink Amendment List I.D. number. Date qualified as committee (If apolcaw) ® Termination —See Part 5 List I.D. number. # 1305731 12 1 09 08 Date ofTermination NAME OF COMMITTEE Paul Brown For SLO City Council STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93401 805/550 -1661 MAILING ADDRESS (IF DIFFERENT) OPTIONAL; FAX / E -MAI L ADDRESS COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE San Luis Obispo Attach additional a/formabon on appmpriatelylabeled continuation &Weft. STATEMENT OF ORGANIZATION mp RECEIVED DEC 10 2908 LO CITY CLERK 2. Treasurer and Other Principal Officers NAME OF TREASURER Ali Semon STREET ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93401 NAME OF ASSISTANT TREASURER, IF ANY Paul Brown STREET ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE San Luis Obispo CA 93401 NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE 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 Executed on 12 1 0/2008 By Executed on 12/10/2008 By DATE Executed on — DATE Executed on DATE I certify under penalty of SIGNAOURE OF CONTROLLING OFFICEHOLDER, CANDIDAYE, OR STATE MEASURE PROPONENT FPPC Form 410 (Jan/01) FPPC Tog-Free Helnllne: ttBB/ASK.FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Paul Brown For SLO City Council 4. Type of Committee Complete the applicable sections. Page 2 1305731 • 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 CANDIDNE/OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PAR TY Paul Brown Council Member - City of San Luis Obispo 2008 Non - Partisan Q Non - Partisan • Listthe financial institution where the campaign bank account is located (controlled "candidate election" committees only) NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE BANK ACCOUNT NUMBER Mission Community Bank 8051782 -5000 ADDRESS CITY STATE ZIP CODE San Luis Obispo CA 93406-9806 Primarily formed to support or oppose spedfic candidates or measures ina single election. Listbelow: CANDIDATES) 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 OPPOSE FPPC Form 410 (Jan/01) FPPC Toll-Free HehAlne: 866/ASK-FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Rags 3 COMMITTEE NAME LD NUMBER Paul Brown For SLO City Council 1305731 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 C] COMY Committee M STATECommittee PROVIDE BRIEF DESCRIPTION OF ACTIVITY • List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE . 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. Termination RequirementS Bysigning the verifiication, 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: BOS/ASK-FPPC Statement of Organization Recipient Committee Statement Type 0 Initial Not yet qualified Q or Date qualified as committee 1. Committee Information NAME OF COMMITTEE Paul Brown For SLO City Council STREET ADDRESS (NO P.O. BOX) Type or print In Ink E] Amendment List I.D. number. # Date qualified as committee (if applicable) R E C E" R . I MAR 19 P119 SLO CITY CLE-RK ® Termination — See Part 5 List I. D. number; # 1305731 _12 / 09 / 08 Date ofTermination CITY STATE ZIP CODE AREA CODEIPHONE San Luis Obispo CA 93401 805/550 -1661 MAILING ADDRESS (IF DIFFERENT) OPTIONAL: FAX I E -MAIL ADDRESS COUNTY OF DOMICILE I COUNTY INHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE San Luis Obispo Attach additional information on appmpriatelylabeled ca» bnuation sheets. mp RECEIVED DES 1 0 2-We ofi Of SLO CITY CLERK STATEMENT OF ORGANIZATION I'ED AND FILED of the Secretary of State State of California AR 0 4 2009 2. Treasurer and Other Principal OfflG!"Rg BOWEN NAME OF TREASURER SWUNIllary or ate Ali Semon STREET ADDRESS CITY STATE ZJP CODE AREA CODEIPHONE San Luis Obispo CA 93401 NAME OF ASSISTANT TREASURER, IF ANY Paul Brown STREET ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE San Luis Obispo CA 93401 NAMEAND POSITION OF OTHER PRINCIPAL OFFICER (S), IF APPLICABLE MAILING ADDRESS CITY STATE ZIP CODE AREA CODwiFHCtiE 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 certifv under penalty of perjury under the laws of the State of California that the foregoing is true Executed on 12/10/2008 EV A Executed on 12/10/2008 DATE Executed on DATE Executed on DATE W SIGNMURE OF CONTROLLING OFFICEHOLDER, CANDID VE, OR STATE MEASURE PROPONENT eT'' _� t • - •1� r'T• s'._ a "47018- 0 6M." •- - i 8r FPPC Form 410 (Jan/01) FPPC Toll -Free Heloline_ 866 /ASK -FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Page 2 Paul Brown For SLO City Council 1. NUMB ER 1305731 4. Type of Committee Complete the applicable sections. Controiled Committee • 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 CANDID/QE /OFFICEHOLDER /STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PAR TY Paul Brown © Non - Partisan Council Member -City of San Luis Obispo 2008 • Listthe financial institution where the campaign bank account is located (controlled "candidate election" committees only) AME OF FINANCIAL INSTITUTION Mission Community Bank ADDRESS AREA CODEIPHOIN E 805/782 -5000 CITY San Luis Obispo STATE ZIP CODE CA 93406 -9806 • 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) Non - Partisan CANDIDATE(S) OFFICE SOUGHTOR HELDOR MEASURE(S) JURESDICT[ON (INCLUDE DISTRICT NO., CITY OR COUNTY, ASAPPLICASLE) CHECK ONE FPPC Form 410 (Jan/01) FPPC Toll-Free Helpiine: 8WASK-FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Ct71uTAgnTEE= NAME Page 3 Paul Brown For SLO City Council I.D. NUMBER 1305731 4. Type of Committee (continued) Generai Purpose Connnitt Not formed to support or oppose specific candidates or measures in a single election. Check only one box: CITY Committee E] COUNTY Committee [] STATECommittee PROVIDE BRIEF DESCRIPTION OFACTNITY •• • �• List additional sponsors on an attachment. -.- v1 -1-M GROUP OR AFFILIATION OF SPONSOR 1MV. ANU JIK=I CITY STATE ZIP CODE Small /• • • • - El 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 111/01. 5. Termination RequirementS By signing the verification, the treasurer, assistant treasurerarid/orcandidate, officeholder, orproponent certify that all ofthe follovAng 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 1ASK.FPPC