Form 410 Termination Statement of Organization GI TY cwl`swip
Recipient Committee C:
Statement Type El Initial ❑ Amendment 0 Termination—See Part S 211 .1 It Far official Use only
Notyetquakfied ❑ a List I.D.number. List I.D.number.
# # 1385489
If If 1 00_/2017
12017
Date qualified as committee Date qualified as Committee Date of Termination
rer ir4l
NAME OF COMMITTEE NAME OF TREASURER
Phil Graham for Encinitas City Council 2016 C. April Boling
STREET ADDRESS(NO P.O.BOX) Zw STATE ZIP CODE AREACODE/P.ONE
PO Box 232578/ San Diego CA 92119 (619)713-6888
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Encinitas CA 92023 (760)472-3578
MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX)
FAX/E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE
COUNTY OF DOMICILE JIURISOICTION WHERE COMMITTEE 15 ACTIVE NAME OF PRINCIPAL OFFICER(S)
San Diego City of Encinitas
STREET ADDREES(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
"13
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the foregoing is true and correct.
I
Executed on - - 4
By
PATE SIGNATURE RE URER 00.ASSISTANTTREA5URER
Executed on DATE BY
INATURE OF CONTROLLING OFrHOLDE R,CANDI DATE,OR STATEMEASURE 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(Jan/2016)
FIFPC Advice:ac1viceLWfppc.ca.gov(966/275-3772)
wwIv.fppC.Ca.gOV
Statement of Organization CALIFORNIA '
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page i
COMMITTEE NAME I.O.NUMBER
Phil Graham for Encinitas City Council 2016 1385489
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Union Bank (619)265-5737 10063158646
ADDRESS CITY STATE ZIP CODE
5197 Waring Rd San Diego CA 92120
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• 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
isNonpartisan
Phil Graham Encinitas City Council 2016
❑ Nonpartisan
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
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA '
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Vage 3
COMMITTEE NAME I.D.NUMBER
Phil Graham for Encinitas City Council 2016 1385489
u (tonnnoedf 't'' f
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
STREETADDRESS NO.AND STREET CITY STATE ZIP CODE
pate qualified
5e[h 'Regilrments ksfglin& ` <+Ya officeholQeGOr` neoteew ofefiolka3kee4meL
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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 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(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov,