GEORGE, LAN - FORM 410 - INITIAL (Stamped by SOS) pr, .
!iJ'/y�\/ II
„ .
_...7 0 D 5 .
L v Date
Statement of Organization /,../. � Stamp _
L ._) . CALIFORNIA ,y 1 0
Recipient Committee_ ! AVE / ND �� FORM `F
Statement Type '
®Initial 1. ❑ Amendment ❑ Termination—See Part 51 the office of the Secretary of S For Official Use Only
Not yet qualified of the State of California
. , or i
O Date qualification threshold met Date qualification threshold met Date of termination JUL 0 2020
-/--1 /---1 -✓--/
1. Committee Information I.D. Number • 2. Treasurer and Other Principal Officers
• - ifa•plicable I'
NAME OF COMMITTEE NAME OF TREASURER • '
l
Elect Lan George City Council 2020 Taryn Conaway
•
STREET ADDRESS(NO P.O.BOX)
, ,j'
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
Arroyo Grande CA 93420
CITY STATE ZIPICODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Arroyo Grande CA 93420
FULL MAILING ADDRESS(IF DIFFERENT) - STREET ADDRESS(NO P.O.BOX) -
. I
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY - STATE ZIP CODE AREA CODE/PHONE
•
I
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
San Luis Obispo ' City of Arroyo Grande Lan George
•
STREET ADDRESS(NO P.O.BOX)
' '
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets. _
I Arroyo Grande CA 93420
3 Venfhcation
I have used all reasonable diligence in preparingthis statement and to the best of my knowledge the information contained herein is true and complete. I certify under '.
penalty of perjury nder the laws of the State of California that the foregoing is true'and correct.
Executed on / a 0 .By
DA E '
OR STATE MEASURE PROPONENT
(
Executed on By
DATE I SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
c Executed on By .
DATE , SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT .
• FPPC Form 410(August/2018)
FPPC Advice:advice,(u fppc.ca.�ov`(866/275?3772)
www,fppc.ca.aov
Statement of Organization CALIFORNIA A 1 0
Recipient Committee FORM `-F
INSTRUCTIONS ON REVERSE
• Page 2
COMMITTEE NAME 'I
I.D.NUMBER
Elect Lan George City Council 2020
• All committees must list the financial institution where the campaign bank account is located.
•NAME OF FINANCIAL INSTITUTION I AREA CODE/PHONE BANK ACCOUNT NUMBER
Mechanics Bank f 805-473-6875
ADDRESS CITY STATE ZIP CODE
1026 East Grande Avenue I Arroyo Grande CA 93420
;'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)r ELECTION CHECK ONE
Lan George • City Council 2020 Nonpartisan Partisan (list political party below)
•
Nonpartisan Partisan (list political party below)
',Primarily Formed Committee ,`" Primarily formed I o 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
SUPPORT OPPOSE
I ,
•
FPPC Form 410(August/2018)
FPPC Advice:adviceIu f ppc.ca.gov(866/275-3772)
1, www_fpoc.ca,.goy
Statement of Organization CALIFORNIA
Recipient Committee FORM 410
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME •
I.D.NUMBER
Elect Lan George City Council 2020-
,
•
,
4.s.Tlipe
020-
4.'Type of Committee- (Continued)
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
0 CITY Committee 0 COUNTY Committee 0 STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Sponsored Committee List additional sp onsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO.AND STREET I CITY STATE ZIP CODE AREA CODE/PHONE
Small.Contributor,Comrriittee ' ❑ /
Date qualified
''.S:T'Ter'rrination`;Requir`,ements' sy.�signmgth�venfication,the,fre'asuref,assistant�treasurerand/or`candidate,±officeholders,orponentcertify'that all of thefollowing.conditionsheve�beenmet. ,.
• 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 Elec ons Code Section 18680 and FPPC Regulation 18521.5.
•
FPPC Form 410(August/2018)
FPPC Advice:advice@fppc.ca.gov(865/275-3772)
www.fppc.ca.goy ,