Form 410 Statement of Organization �ateSta/n TI_.. . . _
Recipient Committee C± Y s p i _
Statement Type Initial Amendment ❑ Termination-See Part 5 q For Official Use Only
Not yet qualified �L tai f t s: 1 P Ni 33: 1,
or
Q Date qualification threshold met Date qualification threshold met Date of termination
1. Committee Information I.D. Number`�j(„ % 2• Treasurer and Other Principal Officers
(if applicable) 1 t1((1J
NAME OF COMMITTEE NAME OF TREASURER
Susan Turney for Encinitas City Council 2020 Stephanie D Sanchez
STREET ADDRESS(NO P.O.BOX)
San Diego CA 92116
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Encinitas CA 92024
FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX)
F.-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIPCODE AREA CODE/PITON(
sdsanchez @pctreasury.com I susankturney @gmail.com
COUNTY OF DOMICILE IURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
San Diego Encinitas
.STREET ADDRESS(NO P.O.BOX)
Attach additional information on appropriately labeled continuation sheets. CITY STATF ZIPCODE AREA CODE/PHONE
3. Verification i \
I have used all reasonable diligence in preparing this statement and to,the-best of^nty knowledge the information contained herein is true and complete. I certify under
penalty of perjury�under the laws of the State of California that'thd foregoing i5 trueYand correct.
Executed on ` _ft._>'i -� 5.`°._ By
.t ; G ATE._ _ SIGNAT(JRF.OF TREASURER OR ASSISTANT TREASURER
Executed on
By. - -,
DATE SIGNATURI OF CONTROLLING OFFI CEHOLDE R,CAN DI OAT E.OR S TAT F NTFASURE PROPONENT
Exenrted on By
UATf., SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE.OR%TAT[.MCASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING'OFFICEHOLDER,CANDIDATE,Or STATE MEASURE PROPONENT
FPPC Form 410(August/2018)
FPPC Advice:advice @fppc.ca.gov(866/275.3772)
www.fppc.ca.gov
Statement of Organization • •
Recipient Committee •
INSTRUCTIONS ON REVERSE Page 2
I.D.NUMBER
COMMITTEE NAME
Susan Turney for Encinitas City Council 2020 1426050
• 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 858-569-2310 0012146304
ADDRESS CITY STATE ZIPCODE
4225 Genesee Avenue San Diego CA 92117
4.Type of Committee Complete the applicable sections.
controlled committee
• 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." Stating"No party preference"is acceptable.
• 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 YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECKONE
Nonpartisan Partisan (list political party below)
Susan.Kay Turney Encinitas City Council, Dist: 02 2020 f0 _
Nonpartisan Partisan (list political party below)
El EL
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
IF A RECALL,STATE-RECALL IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
F_SUPPORT OPPOSE
FPPC Form 410(August/2018)
FPPC Advice:advice @fppc.ca.gov(866/275=3772)
www.fppc.ca.gov
Statement of Organization -CALIFORNIA '
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D.NUMBER
Susan Turney for Encinitas City Council 2020 1426050
4.Type of Committee (Continued)
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 on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR'AFFILIATION OF SPONSOR
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Contributor Committee I ❑
Date qualified
5.Termination Requirements By signing the verification,the treasurer,assistant treasurer and/or candidate,officeholder,or proponent certify that all of the following conditions have been met:
• 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(August/2018)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov