Form 410 amendment 5-14-13 COPY
Statement of Organization CITY OF MC71 4I�i,'.
Recipient Committee CITY CIi.E ED
Statement Type Late
❑Initial Q Amendment El Termination—See Part 5 y � For official use only fa
Not yet qualified ❑ or Listl.D.number: Listl.D.number: 2013A I 30 NI 3: u3 MA�
f 1 17 2013
# 1357288 #
05/14/2013
DIEEF�,� BOWEN
—�_—/ —�_� __/-_✓ Secretary► Of Stat
Date qualified as committee Date qualified as committee Date of Termination
(If applicable)
re
wr
NAME OF COMMITTEE NAME OF TREASURER
Encinitas Residents, Businesses and Taxpayers Opposing Prop. A
Nancy Haley
STREET ADDRESS(NO P.O.BOX) STREET ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
Encinitas, CA 92024 760-632-3600
Encinitas, CA 92024 760-632-3600
MAILING ADDRESS(IF DIFFERENT) NAME OF ASSISTANT TREASURER,IF ANY
Robin Stephen
FAX/E-MAIL ADDRESS STREET ADDRESS(NO P.O.BOX)
COUNTY DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE CITY 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. sT
CITY STATE ZIP CODE AREA CODE/PHONE
Encinitas, CA 92024 760-473-8725
MEMO
I have used all reasonable diligence in preparing this statement nd to the best of my Mle he i format ion contained herein is true and complete. I certify under
penalty of per uryy under the laws of the State of Californ a that e i is true
Executed on M YY 1 4 n j� By
DATE SIG RE FTREASUR OR ASSISTANT THE ER
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
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 CALIFORNIA '
Recipient Committee -
INSTRUCTIONS ON REVERSE
Page 2 of 4
COMMITTEE NAME
I.D.NUMBER
Encinitas Residents, Businesses and Taxpayers Opposing Prop. A 1357288
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANKACCOUNT NUMBER
Torrey Pines Bank 760-444-8400 4110613833
ADDRESS CITY STATE ZIPCODE
2760 Gateway Road Carlsbad CA 92009
oma
• 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.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
❑ Nonpartisan
❑ Nonpartisan
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S)NAME OR MEASURE(S)FULLTITLE(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
City of Encinitas SUPPORT OPPOSE
The Encinitas Right to Vote Amendment, Prop. A ❑
SU In
FPPC Form 410(Dec/2012)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA 410
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 3 of 4
COMMITTEE NAME I.D.NUMBER
Encinitas Residents, Businesses and Taxpayers Opposing Prop. A 1357288
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
Sponsored List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO.AND STREET CITY STATE ZIPCODE
Contributor Small ❑
Date qualified
• 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(Dec/2012)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Additional Comments STATEMENT OF ORGANIZATION
for Form 410 CALIFORNIA
FORM
INSTRUCTIONS ON REVERSE
4 of 4
COMMITTEE NAME I.D. NUMBER
Encinitas Residents, Businesses and Taxpayers Opposing Prop. A 1357288
Qualification & Bank Account Info.
FPPC Toll-Free Helpline: 8661ASK-FPPC
www.netrile.com