Form 410 Termination V
Statement of Organization1'
Recipient Committee CITY CLEMK
Statement Type El Initial Amendment Termination—See Part s 2021 — For OfricialUse Only
FEB f G A
Q Not yet qualified t
or
Q Date qualification threshold met Date qualification threshold met Date of termination
05 .22 2020 '_ R . Q .
1�k'Cornmtttee Informatrorn t Numbe 2 Treasurer and Ot er{Rrtnct a 0 cers
(i
(If applicable) 1426050 ..}:. 7 ;,, SI) I t �� t_I
rl
NAME OF COMMITTEE NAME OF TREASURER
Susan Tumey for Encinitas City Council 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 OFASSISTANT TREASURER,IF ANY
Encinitas CA 92024 858-382-3705
FULL MAILING ADDRESS(iF DIFFERENT) STREET ADDRESS(NO P.O.BOXI
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAO CITY STATE ZIP CODE AREACODE/PHONE
stephanie @pctreasury.com I susankturney @gmail.com
COUNTY OF DOMICILE IURISOICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
San Diego Encinitas
STREET ADDRESS(t10 P.O.BOX)
Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE
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I have used all reasonable diligence in preparing this t ~ent and t the e5 of my knowledge the information contained herein is true and complete. I certify under
penalty of pVIRI`204 ry uu der
tthe laws of the State of Cali f rrect.
Executed on By
DATE //�'j/ / SIGN TURF OF TREASURER OR ASSISTANT TREASURER
Executed on' By /^J�l� / �� `
DATE 1 SIGNAT oNTROLLING OFF ICE14OLDE RcAN0IOAj E.OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF COW ROLLING 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
Statement of Organization CALIFORNIA
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
gp2
COMMITTEE NAME I.O.NUMBER
Susan Tumey for Encinitas City Council 2020 1426050
• All committees must list the financial institution where the campaign bank account is(vested.
NAME OF FINANCIAL INSTITUTION AREACODE/PHONE BANKACCOUNTNUMBER
Union Bank 858-569-2310 0012146304
ADDRESS CITY STATE ZIP CODE
4225 Genesee Avenue San Diego CA 92117
gli
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/OFFICEHOLOER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CNECKONE
Nonpartisan Partisan (nst political party below)
Susan Kay Tumey Encinitas City Council,Dist:02 2020 0
Nonpartisan Partisan (nst political party below)
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S)NAME OR MEASURES)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASUREIS)JURISDICTION
IF A RECALL.STATE-RECALL'IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHEM ONE
SUPPORT OPPOSE
11 El
4922P 4922PItr OPPOSE
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 3
COMMITTEE NAME I.D.NUMBER
Susan Turney for Encinitas City Council 2020 1426050
El CITY Committee 0 COUNTY Committee STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors onanattachment.
NAME OF SPONSOR
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
- - —
[]
Date qualified
tR
gn' 41
• This committee has ceased mreceive 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 hnGovernment
Code Section O9S19'
—
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 z868U and FPPC Regulation 185Zz.S'
pprc Form 4zo<August/zo1o>
� rprc Advice:nuvice@fpnc.o,'avv(nso/zrs's7rz)
�
www.fppc.ca.gov
� �
V Amend Form 410 to:
D Committee termination, update treasurer information (email + phone number)