HomeMy WebLinkAboutChristianson - 410 08-13-2018 Statement of Organization - qualified - SOS copyStatement of Organization
Recipient Committee
Statement Type ❑ Initial ® Amendment
❑ Termination —See Part 5
Q Not yet qualified
or 08 13 2018
IN Date qualified as committee — '( 'I �
__ih �o !R Date qualified as committee Date of termination
1. Commi tee Infvrmatilon I.D. Number 1407264
(if applicable)
NAME OF COMMITTEE
Carlyn Christianson for City Council 2018
STREET ADDRESS (NO P.O. BOX)
1415 Morro St., #16
CITY STATE ZIP CODE AREA CODFIPHnZF
San Luis Obispo
MAILING ADDRESS (IF DIFFERENT)
COUNTY OF DOMICILE
San Luis Obispo
CA 93401
JURISDICTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo
Attach additional information on appropriately labeled continuation sheets.
Date Stamp
CEIVED AND E_LrEC
s ot;c v; [ e Secretaryof Sta:e
of the State of California
AUG 16 20463
2. Treasurer and Other Principal Officers
For Official Use Only
R E C E 1VE—D
AUG 2 6 2018
JERK
NAME OF TREASURER
Robert Vessely
STREET ADDRESS (NO P.O. BOX)
CITY
San Luis Obispo
STATE
CA
ZIP CODE
AREA CODE/PHONE
93401
NAME OF ASSISTANT TREASURER, IF ANY
Carlyn Christianson
STREET ADDRESS (NO P.O. BOX)
CITY
San Luis Obispo
STATE
CA
ZIP CODE
93401
AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
3. Verific-ation
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
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 (865/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Carlyn Christianson for City Council 2018
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Pacific Premier Bank
Auum=
1144 Morro Street
4. Type of Committee Complete the applicable sections.
AREA CODE/PHONE
805-544-7200
CITY
San Luis Obispo
BANK ACCOUNT NUMBER
STATE ZIPCODE
CA 93401
Page 2
..u. NUMBER
1407264
• 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
(INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION
CHECK ONE
Cariyn ChristiansonNonpartisan Partisan (list political pa
City Council, San Luis Obispo 2018 21
Nonpartisan I Partisanfiiktr7eim—1 rs
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATES) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
SU PPO R1
ONE
FPPC Form 410(February/201g)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.a.gov