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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