HomeMy WebLinkAboutStephen Lamb - Form 410 - Initial - 05-07-2008Statement of Organization
Recipient Committee
Statement Type - rX-1 Initial
Not yet qualified ❑ or
1
04 / 29 1 08
Date qualified as committee
committee Information
NAME OF COMMITTEE
Lamb for SLO
Type orprint in ink l�O
Amendment
List I.D. number:
Date qualified as committee
(If applicable)
Termination — See Part 5
List I.D. number:
Date of Termination
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE /PHONE
San Luis Obispo
CA 93401 805.544.6624
MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX/ E -MAIL ADDRESS
davidk @lambforsio.com
COUNTY OF DOMICILE
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
San Luis Obispo
Attach additional information on appropriately labeled continuation sheets.
RECEIVED AND FI
in tie office of the Secretary c
of the Sate of cellfcmll
MAY 12 ton
DEBRA BOWEN
%ecretary of Statc.
2. Treasurer and Other Principal Officers
NAME OF TREASURER
David Kilburn
STATEMENT OF ORGANIZATION
RECEIV D
MAY 2 3 2 G8
SLO CITY C ERK
STREET ADDRESS
CITY STATE Z[P CODE AREA CODE/PHONE
Atascadero CA 93422 805.440.6487
NAME OF ASSISTANT TREASURER, IF ANY
N/A
STREET ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
MAILING ADDRESS
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 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 5/712008
DATE
Executed on 5/7/2008
DATE
Executed on
DATE
Executed on
DATE
L -`l
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
BY
SICiNAI U RE OF CONTROLLING OFFICEHOLDER, CANDIDA E, OR STATE MEASURE PROPONENT
By
I NATURE F CONT LLIN OF OLDER, GANDIb E, OR STATE MEASUPE ROPON NT
FPPC Form 410 (Jan /01)
FPPC Toll -Free Heloline: 866 /ASK -FPPC
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Lamb for SLO
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.
NAME OF CAN DIDFVE /OFFICEHOLDER /STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Stephan Lamb E] Non - Partisan
Mayor, City of San Luis Obispo 2008
• List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
1 -1- yr r7NANI -IAL INJ I I I U I IUN
American Principle Bank
AUUHLJS
AREA CODE /PHONE
cITY
San Luis Obispo
K
STATE ZIP CODE
CA 93401
• It - • 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 SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
FPPC Form 410 (Jan /01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Lamb 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:
RK CITY Committee F] COUNTY Committee n STATECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Sponsored List additional sponsors on an attachment.
—1— yr Jr UIVJUK
IVU. HNU J I Ktt I
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
Small Contributor
[] 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 Comm ittee on January 1, 200 1, enter 1 /1 /01.
5. Termination Requirements 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
Statement of Organization
Recipient Committee
Statement Type M Initial
Not yet qualified Q or
04 / 29 08
Date qualified as committee
1. committee Intormation
NAME OF COMMITTEE
Lamb for SLO
STREET ADDRESS (NO P.O. BOX)
CITY
San Luis Obispo
MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX/ E -MAIL ADDRESS
davidk @lambforslo.com
Type or print in ink
Amendment
List I.D. number.
Date qualified as committee
(If applicable)
STATE ZIP CODE
CA 93401
STATEMENT OF ORGANIZATION
Termination — See Part 5
List I.D. number:
#
AREA CODE /PHONE
805.544.6624
I.UUN I Y OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
San Luis Obispo
Attach additional information on appropriately labeled continuation sheets.
Date of Termination
Date Stamp
RECEIVED
MAY 0 7 2008
SLO CITY CLERK
2. Treasurer and Other Principal Officers
NAME OF TREASURER
David Kilburn
STREET ADDRESS
CITY STATE ZIP CODE AREA CODFJPHONE
Atascadero CA 93422 805.440.6487
NAME OF ASSISTANT TREASURER, IF ANY
N/A
STREET ADDRESS
CITY STATE ZIP CODE 1 R CODE/PHONE
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
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 5/7/2008
DATE
Executed on 5/7/2008
DATE
Executed on
DATE
Executed on
DATE
By
ASSISTANT TREASURER
BY
SIGNPTURE OF CONTROLLING, OFFICEHOLDER, OANDIDKE, OR STATE MEASURE PROPONENT
SIG Nf'4 -UqE OF CONTROLLING OFFICEHOLDER, CANDID.aFe, OR STATE MEASURE PROPONENT
E
I NPTUR F CO LLIN FFI OLDER,CANDI OR ATE M. URE P PONENT
FPPC Form 410 (Jan /01)
FPPC Toll -Free Heloline: 866 1ASK -FPPC
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Lamb for SLO
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.
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Stephan Lamb Non - Partisan
f Mayor, City of San Luis Obispo 2008
• List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
.11 -1- - i INO I I I U I IUN
American Principle Bank
M URCJJ
AREACODE /PHONE
BANK ACCOUNT NUMBER
805.547.2800
CITY
STATE ZIP CODE
San Luis Obispo
CA 93401
Primarily Formed Committee J I 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 SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
FPPC Form 410 (Jan /01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Lamb for SLID
4. Type of Committee (Continued)
• ' Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
RX CITY Committee []COUNTY Committee ❑ STATECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
' ' ' • List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO.AND
CITY
Y GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
Small Contributor Committee , El J / 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 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.
-- 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
Statement of Organization
ReciF "ellt Committee
Statement Type FK� Initial
Not yet qualified Q or
04 / 29
Date qualified as committee
1. Committee Information
Type or print in ink
Amendment
List I.D. number.
# 1307066
Date qualified as committee
(If applicable)
4 C)
Termination — See Part
List I.D. number.
— I I
Date of Termination
a_of-) � - na
���,of the 5`�r :y�rnxa
01 the Sete ct tea;
2. Treasurer and Other Principal Officers
02'..
STATEMENT OF ORGANIZATIONO- -fl U-
For Official Use Only
RECEIVE
JUN 0 6 2009
SLO CITY CLER
..I....- `"' vim' "" "" "" NAME OF TREASURER
Lamb for SLO David Kilburn
STREET ADDRESS
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
Atascadero CA 93422 805.440.6487
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
San Luis Obispo CA 93401 805.544.6624 N/A
MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS
OPTIONAL: FAX/ E -MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE
davidk @lambforsio.com NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
M
San Luis Obispo AILING ADDRESS
Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODERHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my kno edge t feinformation 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 5/7/2008
TREASURER
Executed on 5/7/2008
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
SIGNATURE OF- CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on �
DA, E SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDAFE, OR STATEMEASURE PROPONENT
FPPC Form 410 (Jan/01)
FPPC Toll -Free Heloline: 866/ASK-FPPC
It. .
Statement- of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Lamb for SLO
4. Type of Committee Completethe 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.
NAME OF CAN DIDFrE /OFFICEHOLDER /STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Stephan Lamb Mayor, City of San Luis Obispo 2008 ❑X Non - Partisan
Non - Partisan
• List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAMC Vr I-INANUTAL INS 1 I rUTION
American Principle Bank
ADDRESS
AREA CODE/PHONE
CITY
San Luis Obispo
NUMBER
STATE ZIP CODE
CA 93401
• 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 (Jan /01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Lamb 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:
® CITYCommittee F] COUNTY Committee ❑ STATECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAMt Ur JNUNJUK
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
Page 3
01M=1 AUUKtJJ NU. AND STREET CITY STATE ZIP CODE
—J / 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 By signing the verfication, 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.
-- 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