HomeMy WebLinkAbout410 03/18/2016 Statement of Organization Initial - Gina Phillips30
statement of Organization
Recipient Committee
Statement Type ❑Initial
Notyetqualifled 117 or
I 3`WN-1
❑ Amendment
List I.D. number:
Date qualified as committee Date qualified as committee
(if appflcabla)
Gina Phillips for City Council 2016
❑ Termination — See Part 5
List I.D. number:
fr
— If /
Date of Termination
MAILING POOR ESS (IF DIFFERENT)
FAX / EMAIL
Orange
Beach
Attach additional information on appropriately labeled continuation sheets.
penalty of perjury under the laws of the S
Executed on / b - dw 6 By
DATE
Executed on - go By
DATE
NAME
Dale Stamp
R EIVE ®;Z
in th office of the Secre4
of the State of Califc
MAR 18
5 2o4,t 6 zCAf-'-
MAR 2 5 2016
(
NAME OF ASSISTANT TREASURER, IF ANY
Gina Phillips
STREET ADDRESS INO P.O . BOX)
NAME Of PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOXI
CITY STATE ZIP CODE AREA CODE /PHONE
.paring this statement and to the best of my knowledge the information contained herein is true and corn
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR 57ATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 ()an/2016)
FPPC Advice: advice @Dfppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
6
Statement of Organization
Recipient Committee
I NSTRUCTIONS ON REVERSE
Gina Phillips for City Council 2016
• All committees must list the financial Institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Farmers and Merchants Bank (
AuDrLss
Cm
STATE KIP CODE
4. Type of Committee Complete the applicable sections.
ININI 1011101 1511 ONE
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."
• 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
Gina Phillips
City Council District 4
2016
Q Nonpartisan
SUPPORT
❑ Nonpartisan
E,� F Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME ORMEASUREIS) FULL TITLE (INCLUDE BALLOT NO, OR LETTER) CANDIDATE(S) OFFICESOUGH70R HELDOR MEASUREIS )PURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
FPPC Form 410 ()an /2016)
FPPC Advice: advice @fppc.ca.gm (866/275 -3772)
www.fppc.ca.gov
SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 ()an /2016)
FPPC Advice: advice @fppc.ca.gm (866/275 -3772)
www.fppc.ca.gov
Statement of Organization ONE
,Recipient Committee
INSTRUCTIONS ON REVERSE
Poge3
for City Council 2016
4. Type of Committee (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
PROVIDE BRIEF OESCR I PTI ON OF AMVITY
�;' Sponsor�edCommrttee�ul . • .
NAME OF SPONSOR
ir..1
Date nuailNM
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;
a 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.
FPPC Form 410 (Jan /2016)
FPPC Advice: adviceWp ac.ca.gac (866/275.3772)
vnvw.fppc.ca.gov