Form 410 Termination Statement of Organization 1 T Y �Stamp C IP31 T t1`. • - '
Recipient Committee -
_
Statement Type [ _initial ❑ Amendment ❑ Termination—see Part 5 For Official Use Only
Not yet qualified[I or List I.D.number- List I.D.number: JUL 2 3 ; Z
# # 1 371 353
PY7 09/09/2014
co t t __/ .1 6 / 30—/ 2015
Date qualified as committee Date qualified as committee Date of Termination
(If applicable)
NAME OF COMMITTEE NAME OF TREASURER
Alan Lerchbacker for City Council 2014
Nancy Haley
CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/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 AREA CODE/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 pr aring t s t ement and to the b st yf k n ledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the S to of o i t a f r l n o ect.
Executed on O By
D A R ASSISTANT TREASURER
Executed on By
DATE cl" OLLING OFFICEHOLD%LANDIDATE,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
INSTRUCTIONS ON REVERSE
2 of 3
COMMITTEE NAME I.D.NUMBER
Alan Lerchbacker for City Council 2014 1371353
• 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 CANDIDATE/OFFICEHOLDER/STATE 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 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 N0.OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE(5)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
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
INSTRUCTIONS ON REVERSE
3 of 3
COMMITTEE NAME I.D.NUMBER
Alan Lerchbacker for City Council 2014
1371353
General •• 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 INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO.ANDSTREET CITY STATE ZIP CODE
Small Contributor Committee
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 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