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Form 410 (2) Statement of Organization Recipient Committee Statement Type ®Initial Not yet qualified ® or Date qualified as committee 1. Committee Information Type or print in ink ❑ Amendment Lts,t I D number __J r Date qualified as committee if apv+atwe ❑ Termination—See Part 5 List I D number t Date of Termination NAME OF COMMITTEE EncinitasElection.com Opposing Jerome Stocks and Mark Muir for City Council 2012 STREET ADDRESS(NO PO BOX) 105 4th Street CITY STATE LIP CODE AREACODE'PHONE Encinitas CA 92024 760.840 0488 MAILINGADDRESS(IF DIFFERENTi N/A OPTIONAL. FAX r E-MAIL ADDRESS N/A COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE San Diego N/A Attach additional information on appropriately labeled continuation sheets ' %0;Ftellliftt.iNi T A Ct7Y C►r 1, 12 NOY -I PM 3: 1 STATEMENT OF ORGANIZATION Use Only 2. Treasurer and Other Principal Officers NAME OF TREASURER Jim Kydd STREETADDRESS(NO PO BOXir 105 4th Street CITY STATE ZIP CODE AREA CODF'PHONF Encinitas CA 92024 760.840 0488 NAME OF ASSISTANT TREASURER IF ANY N/A STREETADDRESS WO PO BOX! N/A CITY STATE ZIP CODE AREACODEiPHONE N/A NAME OF PRINCIPAL OFFICER(S) Jim Kydd STREETADDRESS(NO PO BOX! 105 4th Street CITY STATE ZIP CODE AREA CODE;PHONE Encinitas CA 92024 760 840 0488 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the Inform?tion 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 Executed on 10/30/12 DATE Executed on 10/30/12 DATE Executed on DATE Executed on DATE By SIGNATURE OF CONTROLLR*'OFFK.EHOLDEP FANDfOATE OR STATF MFA.SURF PROPONENT FPPC Form 410 (April/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) RGANIZATIOI d.and Y =CK ONE OPPOSE X OPPOSE X 10(April/201 8661275-377. Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE STATEMENT OF ORGANIZATION COMMITTEE NAME I I D NUMBER EncinitasElection com 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 ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY • List the financial Institution where the campaign bank account Is located(controlled candidate election committees only) NAME OF FINANCIAL INSTITUTION I AREACODE/PHONE I BANKACCOUNI NUMBER N/A ADDRESS STATE ZIP CODE 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) Jerome Stocks Mark Muir City Council City Council CHECK ONE SUPPORT OPPOSE X SUPPORT OPPOSE X FPPC Form 410(April/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE EncinitasElection com 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 DESCRIPTION OF ACTIVITY N/A Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR N/A INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREETADDRESS NO AND STREET CITY S W t ur uuuc Date qualified STATEMENT OF ORGANIZATION HUD 5.Termination Requirements By signing the verification,the treasurer assistant treasurer and9or 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 -- 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(April/2011) FPPC Toll-Free Helplirre: 866/ASK-FPPC (8661275-3772)