Form 410 Initial From State Statement of Organization ) 3� I 1 3 Date Stamp .
Recipient Committee •
i
Statement T e x REC EIVED AND FILED
YP ❑Initial ❑ Amendment ❑ Termination—See Part S in the c ffice of the Secretary of Stat For Official use only
Not yet qualified ❑ or
List I.D.number: List I.D.number: 0 the State of California , €F C r n 1 i
# # SEP 11 2014
09/09/2014 �
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Date qualified as committee Date qualified as committee Date of Termination BRA BOWEN
(M applicable)
NAME OF COMMITTEE NAME OF TREASURER
Alan Lerchbacker for City Council 2014
Nancy Haley
STREET ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
Encinitas, CA 92024 626-644-6452 Encinitas, CA 92024 760-632-3600
MAILING ADDRESS(IF DIFFERENT) NAME OF ASSISTANT TREASURER,IF ANY
Stephanie Sanchez
FAX/E-MAIL ADDRESS
STATE ZIP CODE AREACODE/PHONE
San Diego Encinitas, CA 92024 760-632-3600
NAME OF PRINCIPAL OFFICER(S)
Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
I have used all reasonable diligence in prepay g this ement and to the bP-s f my nowt ge the information contained herein is true and complete. 1 certify under
penalty of perjury under the laws of the Stat"ofCa =teg e cad c e
Executed on SEP 0 9 2014 By
DATE u f1 �j S ATU EOF ASURER01:JNT TREASURER
Executed on 1rP [Is LU 1'tsy
DATE SIGN E LLW OFFICEHOLDEk CAN ATE,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 FORM 41
INSTRUCTIONS ON REVERSE
2 of 3
COMMITTEE NAME 10 NUMBER
Alan Lerchbacker for City Council 2014
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREACODE/PHONE BANK ACCOUNT NUMBER
Torrey Pines Bank 760-444-8400 4110751748
ADDRESS CITY STATE ZIP CODE
2760 Gateway Road Carlsbad CA 92009
• 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 CAN MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
City of Encinitas Nonpartisan
Alan Lerchbacker City Council Member 2014
❑Nonpartisan
Primarily Formed Committee W' Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDiOATE(S)NAME OR MEASURE(S)FUILTITLE(INCLUDE BALLOT NO OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE($)JURISDICTION
(INCLUDE DISTRICT NO,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
p(p'❑O-CF�
SUIE121T OPPOCF
FPPC Form 410(Dec/2012)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
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Statement of Organization CALIFORNIA
Recipient Committee FORM 410
INSTRUCTIONS ON REVERSE
COMMITTEE NAME I.D.NUMBER
Alan Lercubacke= for City Council 2014
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
List additional sponsors onanattachment.
NAMEOFSPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE
Small Co ntributor Committee
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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 nu 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. Referto Government
Code Section 89619
—
Leftover funds of ballot measure committees maybe used for political,legislative or governmental purposes under Government Code Sections 89511-89518,and are
subject tu Elections Code Section 18680 and FPPC Regulation 185Z1.S.
Fppc Form 4zn(owq12wxa)
pppc Advice:adm"=@fpuc.pv.gpv(ass/axsenna)
www.fppc.ca'mov