Form 410 Termination Statement of Organization
Recipient Committee
Statement Type ❑initial
Not yet qualified ❑ or
Date qualified as committee
1. Committee Information
NAME OF COMMITTEE
Type or print in ink —
CIT Y
❑ Amendment ® Termination—See Part 5 Jet=+ 3 t f'1 il:
List LD number List I.D number- t
# ## 1353322
= l
Date qualified as committee Date of Termination
(if applicable)
EncinitasElection com Opposing Jerome Stocks and Mark Muir for City
Council 2012
STREET ADDRESS(NO PO BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
Encinitas CA 92024 760 840 0488
MAILING ADDRESS(IF DIFFERENT)
N/A
OPTIONAL. FAX/E-MAIL ADDRESS
N/A
OF DOMICILE I COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
San Diego I N/A
Attach additional information on appropriately labeled continuation sheets.
STATEMENT OF ORGANIZATION
For Official Use
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Jim Kydd
STREET ADDRESS(NO PO BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Encinitas
CA
92024
760 840 0488
NAME OF ASSISTANT TREASURER,IF ANY
N/A
STREETADDRESS(NO PO BOX)
N/A
CITY
STATE
ZIP CODE
AREA CODE/PHONE
N/A
NAME OF PRINCIPAL OFFICER(S)
Jim Kydd
STREETADDRESS(NO PO BOX)
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 ledge the information contained herein i true and complete I certify under penalty of
perjury under the laws of th St at of California that the foregoing is true and corre
Executed on l S By l
A
SIGNATU F TREASURER OR ASSIS TREASURED,
Executed on ��/� By yyti G�
rDATE _. �.....r ,....,T.... .,. r.r.- .,.,1..,,,.�.r
Executed on By \ /
DATE TURE OF CONTROLLING OFFICEHOLDER,CANDIDATE.OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
FPPC Form 410 (April/2011)
FPPC Toll-Free Helpline- 866/ASK-FPPC (866/275-3772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
STATEMENT OF ORGANIZATION
COMMITTEE NAME
I.D NUMBER
EncinitasElection.com Opposing Jerome Stocks and Mark Muir for City Council 2012 1353322
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 AP
(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
ADDRESS
AREA CODE/PHONE
CITY
BANK
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)
CHECK ONE
FPPC Form 410 (April/2011)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee CALIFORNIA
INSTRUCTIONS ON REVERSE
Page 3
EncinitasElection.com Opposing Jerome Stocks and Mark Muir for City Council 2012 1 1353322
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
List additional sponsors on an attachment.
NAME OF SPONSOR
GROUP OR AFFILIATION OF SPONSOR
S NO AND STREET CITY STATE ZIP CODE
Date qualified
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,
• 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 (ApriU2011)
FPPC Toll-Free Helpline• 866/ASK-FPPC (866/275-3772)