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HomeMy WebLinkAboutStewart - 410 - 2018-06-18 InitialStatement of Organization Recipient Committee Statement Type 0 initial ❑ Amendment ❑Termination —See Part 5 O Not yet qualified or 0 Date qualified as committee Date qualified as committee Date of termination 1. Committee information I.D. Number (if applicable) NAME OF COMMITTEE Erica A. Stewart for City Council for 2018 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93401 MAILING ADDRESS (IF DIFFERENT) E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL} erica. a.stewart@gmail.com San Luis Obispo San Luis Obispo Attach additional information on appropriately labeled continuation sheets. Date Stamp RECEIVED JUN SLO CITY CLERK 2. Treasurer and Other Principal Officers NAME OF TREASURER Kristin Durham For Official Use Only STREETADDRESS (NO P.O. BO)3 � CITY STATE Mtr,,, ;e,aJn CA ZIP CODE AREA CODE/PHONE 94036 NAME OF ASSISTANT TR EASU RER, IF ANY Erica A. Stewart STREETADDRESS(NO P.O. BOX) 840 Coriander Lane CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93401 805/503-5342 NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE . verfflcatlon 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 DA SIGNATURE DF CONTROLLING OFFlC EF40LDER, CAHOlOATE, OR STATE MEASURE PROPONENT Executed on BY DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (February/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Erica A. Stewart for City Council for 2018 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION Founders Community Bank ADDRESS 237 Higuera St. 4. Type of Committee Complete the applicable sections. AREA CODE/PHONE 805-543-6500 CITY San Luis Obispo BER Account not opened yet STATE ZIP CODE CA 93401 Page 2 I.R. NUMBER • 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 "nonpartisan." Stating "No party preference" is acceptable. • 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 YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION rwrrv— • 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 IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) SUPPORT ID Nonpartisan Partisan [list political party below) Erica A. Stewart for City Council for 2018 Council Member, City of San Luis Obispo 2018 Nonpartisan Partisan (list political party beinw) E] E] • 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 IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) FPPC Form 410 (February/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SUPPORT ID OPPOSE El SUPPORT OPPOSE El FPPC Form 410 (February/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE (Continued) Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party/Central Committee PROVIDE BRIEF DESCRIPTION OFACTIVITY SponsoredList additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET Smal/ Contributor Committee INDUSTRY GROUP OR AFFILIATION OF SPONSOR Page ZIP CODE AREA 5. Termination Requirements By signing We verification, the treasurer, assistant treasurer and/or candidate, o(fcehokkr, 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. -- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. Clear Page Print u FPPC Form 410 (February/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov