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Form 410 Termination Statement of Organization Date Stamp A Recipient Committee Statement Type ❑initial ❑ Amendment EZ Termination—see Part 5 For Official Use Only 0 Not yet qualified or 0 Date qualification threshold met Date qualification threshold met Date of termination 12(\ '1 Committee Inforrnatron I.-D.—Number - _T ( tr,.­�Ti'te' 7— if applicable) NAME OF COMMITTEE NAME OF TREASURER Alex Riley for Encinitas Council Dist 01, 2020 Stephanie D Sanchez STREET ADDRESS(NO P.O.box) San Diego CA 92116 619-535-1095 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY' San Diego CA 92116- 619-933,8147 FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX) - E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE \?C�yt 5 .C"alexander—riley@icioud.com COUNTY OF DOMICILE FUM-5-71-11 WHERE COMMITTEE IS ACTIVE NAME OF Pill NCIPAL 0 FFICER(S) San Diego Encinitas STREET ADDRESS(NO P.O.BOX) Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE have used all reasonable diligence in preparing this nt and to the t of my knowledge the information contained herein is true and complete. I certify under penalty of p qer the laws of the State of Cal' L,u e-arrcFco rre ct. Executed on i��MZM By PATE SIGNATURE OF TREASURER OR,ASSISTANT TREASURER Executed on DATE By 4i=;Z SIGNATURE OF CONTROL UN r iOLDER,CANDIDATE,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,08 STATE MEASURE PROPONENT FPPC Form 410(August/1018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D.NUMBER Alex Riley for Encinitas Council Dist 01,2020 1427101 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CO E NR'AC{9tlNfiiIUMBER Union Bank 858-569-2310 0012498804 ADDRESS CITY STATE ZIP CODE 4225 Genesee Avenue San Diego CA 92117 sue:, >: . off:i� �o, �-..:. �. - ..r,., !.-.. b e I�h7H( ,C ti l.J}��''! � .iJI'll�ily� �B�IH�lilflt'iil��H�ll•!11}��a.•, �JyCyl�iNl!lj!!N!� 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) Alexander Campbell Riley Encinitas City Council, Dist:01 2020 Nonpartisan Partisan (list political party below) El 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 NO.OR LETTER) CANDIDATE(5)OFFICE SOUGHT OR HELD OR MEASURES)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 11 IL SU0T OPPOSE 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 Alex Riley for Encinitas Council Dist 01,2020 1427101 Not formed to support or oppose specific candidates or measures in a single election. Check only one box: General Purpose.Committee-----�CITY�Commlttee —COURTY committee --fj-STATE-Committec PROVIDE BRIEF DESCRIPTION mACTIVITY List additional sponsors onanattachment. NAME OF SPON50R INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO.AND STREET mr STATE ZIP CODE ^RE^cmx,mv c -- Small Contributor Committee ' — Date quallfic • This committee has ceased oo 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; • Thiscommittephasnosurp/us 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 toGovernment Code Section O95l9. — Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 895I1'D9Sz8'and are subject to Elections Code Section 3.868O and FPpC Regulation z8szz.s. pppc Form 4zo(wugust/2018) rppc Advice:xdmce@fppc.'a.nov(o*6/2zs'az7z) wwv^fppc.ca.uov V Amend Form 410 to: D Termination and update treasurer information (email)