Form 410 Initial Statement of Organization COPY
Recipient Committee
Statement Type ❑x Initial ❑ Amendment
Not yet qualified❑ or List I.D.number:
#
Date qualified as committee Date qualified as committee
(If applicable)
NAME OF COMMITTEE --
Encinitas Residents, Businesses and Taxpayers Opposing Prop. A
❑ Termination—See Part 5
List I.D.number:
—_/ /_
Date of Termination
CITY STATE ZIP CODE AREA CODE/PHONE
Encinitas, CA 92024 760-632-3600
MAILING ADDRESS(IF DIFFERENT)
FAX/E-MAIL ADDRESS
NAME OF TREASURER
Nancy Haley
CST T I - 1;
2013 j pp 2 5 ?'T11 I 1• 4 o For Official Use Only
NttI ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Encinitas, CA 92024 760-632-3600
NAME OF ASSISTANT TREASURER,IF ANY
Robin Stephen
STREET ADDRESS(NO P.O.BOX)
STATE ZIP CODE AREA CODE/PHONE
San Diego
Encintias, CA 92024 760-632-3600
NAME OF PRINCIPAL OFFICER(S)
Christy Guerin
Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS(NO P.O.Box)
CITY STATE ZIP CODE AREA CODE/PHONE
Encinitas, CA 92024 760-473-8725
I have used all reasonable diligence in preparing this state ent a to the best of my knovledg the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that t e ing is b c r e .
Executed on y
AT SI O SURER 0 ASSISTAN EASURER
Executed on By
DATE
SIGNATURE OF CONTRO G OFFICEHOLDER,CANDIDATE,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(Dec/2012)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization _
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2 of 3
COMMITTEE NAME
I.D.NUMBER
Encinitas Residents, Businesses and Taxpayers Opposing Prop. A
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Torrey Pines Bank
AREA CODE/PHONE
760-444-8400
BANK ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
2760 Gateway Road Carlsbad CA 92009
r �
• 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
• 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 Nn rlTv nR rnIINTV AC APDI IrAR1 D1
FPPC Form 410(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fopc.ca.gov
City of Encinitas
nc
SUPPORT
V OPPOSE
The Encinitas Right to Vote Amendment, Prop. A
❑
X
s�
OP
VOCF
FPPC Form 410(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fopc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
NAME
Encinitas Residents, Businesses and
General Purpose Committee 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
5ponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE
Page 3 of 3
Small Contributor Committee �
Date qualified
1R l. .A.• 9 •.1.'.:..' • ... !B 41.._7" dX';�'r =1`•... '�'Y �;i;;°J".�'r, t�` "' � ".:ttSi d-snr'is :II:i'i> `f':71trf Y%a 1:Y<Iiiilr e t-i�_•;�w_y a.ri:
committee • to receive contributions
• 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 maybe 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(Dec/2012)
FPPC Advice;advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov