Form 410 - Amendment Treasurer Statement of Organization C 0 Date Stamp
Recipient Committee C-I'py 'OF
CITY (11P K
Statement Type 0 Initial Amendment Termination—See Part 5' For Official Use Only
• Not yet qualified 'Ma DEC,2.2 Ri'12: - 0
Or
•Date qualification threshold met Date qualification threshold met Date of termination
05 22 _2020
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cers.
66,Informations
(if applicable)1P �7Y' id'Ot -P
Treasurer
I.D. Number
1426050
NAMEOFCOMMITTEE NAME OF TREASURER
Susan Turney for Encinitas City Council 2020 Stephanie D Sanchez
STREET ADDRESS([to P.O.BOX)
STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Encinitas CA 92024 858-382-3705
FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX)
AREA CODE/PHONE
E-MAIL ADDRESS(REQUIRED)I FAX(OPTIONAL) CITY STATE ZIPCODE
stephanie@pctreasury.com I susankturney@gmaii.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE NAME OF PRINCIPAL OFFICER(S)
San Diego Encinitas STREET ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing ihi�s' t lte�'rnen th est of my knowledge the information contained herein is true and complete. I certify under
f f 0 �
penalty of perjury under the laws of the State of Calif a the for gg-ACis true and correct.
Executed on By
DATE _ SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed an BY 11.4 '/�
DATE - SIGNATURE dF CONIROLLING OFFICEHOLDER,CANDIDATE,Oft STATE MEASURE PROPONENT
Executed on DATE By 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(August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
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Statement of Organization CALIFORNIA
Recipient Committee _
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D.NUMBER
Susan Tumey 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 ZIP CODE
4225 Genesee Avenue San Diego CA 92117
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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 Tumey Encinitas City Council, Dist: 02 2020 0
Nonpartisan Partisan (list political party below)
El
Formed Primarily 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
EL
E]T O n
FPPC Form 410(August/2018)
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
COMMITTEE NAME I.D.NUMBER
Susan Turney for Encinitas City Council 2020 1426050
General Purpose Committee I 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 Committee 1 List additional sponsors on an attachment.
NAME OF SPONSOR I INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREETADDRESS NO.AND STREET CITY STATE ZIP CODE AREACODE/PKONE
Small Contributor Committee
Date qualified
P_KT'& ih6tfdh'X� tz
• 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:adv1ce@fppc-ca-90v(866/275-3772)
www.fppc.ca.gov
{
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V Amend Form 410 to:
D Update treasurer information (email)