Loading...
HomeMy WebLinkAboutStephen Lamb - Form 410 - Termination - 08-11-2008Statement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or 04 / 29 r 08 Date qualified as committee 1. Committee Information NAME OF COMMITTEE Lamb for SLO Type or print in ink Amendment List I.D. number: Date qualified as committee (If applicable) © Termination — See Part 5 List I.D. number: # 1307066 AUG 2 'S NG3 08 J_ 11 1 08 Date of Termination tea.^ fi`�t:i:.r.�.•. {ti' � *:� 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 dkilburn @charter.net COUNTY OF DOMICILE Y WHERE COMMITTEE IS ACTIVE IF DIFFERENT FTHAN OUNTY OF DOMICILE San Luis Obispo Attach additional information on appropriately labeled continuation sheets. 2. Treasurer and Other Principal Officers NAME OF TREASURER David Kilburn STATEMENT OF ORGANIZATION IUse STREET ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE Atascadero CA 93422 805 - 440 -6487 NAME OF ASSISTANT TREASURER, IF ANY N/A STREET ADDRESS CITY STATE ZIP CODE AREA CODEIPHIONE NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE MAILING ADDRESS CITY STATE ZIP CODE AREA CODEJPHONE 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledg the in €o PROPONENT Executed on DATE B SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on W i - SIGNATURE OF CONTROLLING OFFICEHOLDER, ANDIDTE, OR TATE MEASU PROPONENT SEE Q 8 ?000 FPPC Form 410 (Jan /01) FPPC Toll -Free Heloline: 866 /ASK -FPPC SLO Ci s Y Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Lamb for SLO 4. Type of Committee Complete the applicable sections. 1307066 • 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 Mayor, City of San Luis Obispo 2008 2] Non - Partisan n Non - Partisan • List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) NAME OF FINANCIAL INSTITUTION American Principle Bank ADDRESS AREA CODE /PHONE 805 - 547 -2800 CITY San Luis Obispo STATE ZIP CODE CA 93401 Primarily Formed Committee 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 OPPOSE FPPC Form 410 (Jan /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE 493 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 []COUNTY Committee ❑ STATECommittee PROVIDE BRIEF DESCRIPTION OF ACTIVITY • • ' • List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR OIRCCI r,uumr -00 NU. AND STREET CITY STATE ZIP CODE 1 1 I 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. 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 S't`atement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or 29 t 08 Date qualified as committee 1. Committee Information NAME OF COMMITTEE Lamb for SLO Type or print in ink ❑ Amendment List I.D. number: © Termination — See Part 5 List I.D. number: # 1307066 08 t_ 11 1 08 Date qualified as committee Date of Termination (If applicable) 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 dkilburn @charter.net 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 P RECEIVED AUK 2 0 2008 SLO CITY CLERK 2. Treasurer and Other Principal Officers STATEMENT OF ORGANIZATION For Official Use NAME OF TREASURER David Kilburn STREET ADDRESS ( STATE ZIP 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 knowiedg the info ion 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 8/11 /2008 Imo' DATE r SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT Executed on Executed on DATE DATE Ey SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT IN S€ [• XURE O NTROLLING OFFI EH LOER. CANDJ_n R STATE M° URE PROPONENT FPPC Form 410 (Jan/01) FPPC Toll -Free Heloline: 866 /ASK -FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Lamb for SLO I.D. NUMBER 1307066 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 DIDWE /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 ❑K Non - Partisan ® Non - Partisan • List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) NAMt Ur rINANUTAL INSTITUTION American Principle Bank ADDRESS AREA CODE /PHONE 805 - 547 -2800 CITY San Luis Obispo 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 OPPOSE FPPC Form 410 (Jan /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC