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BARNEICH, KRISTEN - FORM 410 - AMENDMENT (Stamped by SOS) 1. -'Statement of Organization , :.{. ` Date Stamp = r AFRNIA � • . ` ®*Recipient Committee . . Statement Type 0 initial `, (�p�(� r ��f Amendment 0 :Termination—See Part 5 �����v�D p^il`i l.! f��`�` For Official Use Only Q Not yet qualified in the office of the Secretaryof ate or of the State of California 0 Date qualification threshold met Date qualification threshold met • '.- Date of termination JULO �� t� L lD ✓---,� 6 /21___/ 2020 / 1 orprnt ee Ir,ferrrratlon I.D. Number 1426688 �, * °2 :Treasurer and Other Principal Officers • • ,-.,..-.1..-..,;;,.--;,,..,-;'''''':--.t."; -,p, ti 7fa.pllea,le .a "": . . .4 i...;:t:` .i ..._1... '' ., ;:.-P.:-:,...; - . . ,._ NAME OF COMMITTEE 'NAME.OF TREASURER Committee to reelect Kristen Barneich Arroyo Grande City Council 2020 ;=Brittany Bersbach — STREET ADDRESS(NO P.O.BOX) ^�STREET ADDRESS(NO P.o.BOX) CITY STATE ZIP CODE AREA CODE/PHONE :::: Arroyo Grande CA 93420 CITY , STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Arroyo Grande; CA 93420 FULL MAILING ADDRESS(IF DIFFERENT) ' '' ' .STREET ADDRESS(NO P.O.BOX) _, E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) 1 CITY STATE ZIP CODE AREA CODE/PHONE ..., •.• _. . COUNTY CF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) San Luis Qbispo Arroyo Grande - - :'Kristen Barneich - STREET ADDRESS(NO P.O.BOX) ' -- . CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. .:,` Arroyo Grande CA 93240 K r, w . `3„-,'•� ,�- 's17;.,,. •,t � t,-• .' f. . .. r4._yt■ v : . i :L Y, >" y a r .. .d. .Q k.•-, .g ,r. , r ,.�.. 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T... .:rA,g t .: s .N+R. fi�2," .Y,td„T M�i : . :V.:: 4 r:.0 .,�1r.n�{. �i+;.a.x����l�' a�d�er ,r . . �.ri:, r`. t '��� _��.�}`•4 ::?" ,. �.��d .. •�'.b3t '�... t�.`^ �-�.v T +� .rr.��,,.� �p� ,� ai.`:c" 7.�• na, t-4 T'fik.�k t..;`.�'.+/ ,..t'+Rz-N s`�.acsaF�rrr�'x...� . ���'SR � E .���o-�a.....:L'ttX�'.d°'C��,�!�!�5.,,���� ..k.-,. s.a�.Y�r,'rw�.t�Jct _ 11�... ,�'����.3� :�M. �..7 •4'i3.tr.c�s,t`@c4y5.e.:�•��j't;� a'. .,.ki'k-e �'^.fin a.. I have used all,reasonable:diligence in preparing this statement and to the best of my:knowledge the information contained herein is true and complete. I certify under penalty of perjury'under.the laws of the State of California that the foregoing is true and.correct. Executed on (Q\24\7b 7..c By • . Executed on I I Byi� .....40....61161, DATE SIGNATURE OF COLLING OF '-OLDER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on By, _._. . . . SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on By v ' • ,''-i-';,C;"•:.';;:_;,•:', ',DATE:;; SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT FPPC Form 410(August/2018) FPPC Advice:advice(a(fppc.ca.gov(866/275-3772) ( r www.fpoc.ca.gov Statement of Organization ,CALIFORNIA jj 1 0 Recipient Committee .FO�RMVL `' ' INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D.NUMBER Commitee to reelect Kristen Barneich Arroyo Grande City Council 2020 1426688 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION - AREA CODE/PHONE BANK ACCOUNT NUMBER Mechanics Bank I 805)473-7710 ADDRESS CITY STATE ZIP CODE 1026 E Grand - Arroyo Grande . CA 93420 ,•t"3'd't.,.v_ltGi.Y'--�. 1i (Ogrwuel ;H�na�:et5 2e 7�,.. v �n � .� fT40. '4aat A 'Cttz4Q e•�� Ti,afh �. Mms�x .iq'•�-«"L?'�y::-• tr!.t$u4•s,t.... ii.'*:f +. >, ,,.. . _ __... 1Cpntro"I�e414t! #ieew"• :f; , • List the name of each controlling officeholder,candidate,_or_state_measure_proponent.___If_candidate or.officeholder.controlled, _ :also list theaelective 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 CHECK ONE Kristen Barneich City Council 2020 Nonpartisan Partisan (list political party below) Nonpartisan Partisan (list political party below) tPrnfrg.lJ rFoF,n`d 4/p, riittrref, a 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 SUPPORT OPPOSE . FPPC Form 410(August/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.eov Statement of Organization •cALIFDRNIA Recipient Committee `" FORM • 41 0 ; . INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D.NUMBER Committee to reelect Kristen Barneich Arroyo Grande City Council 2020 1426688 ...', 4 Type of Commiiteet. (Continued). r4a .. - "x r w.. .. ... _ e...�ee�v' '., ,...0_ •. ; .?t'��r '..}. General'eurposeComrnittee Not formed to support or oppose specific candidates or measures in a single election. Check only one box: 0 CITY Committee ❑ COUNTY Committee 0 STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY J �� V5Rettilseiti*IiiartiMe:4414 List additional.sponcors on an-attachment. NAME OF SPONSOR INDUSTRYGROUP OR AFFILIATION OF SPONSOR -- _ I STREET ADDf:ESS - NO.AND STREET CITY STATE 7IP CODE AREA CODE/PHONE 79 yy;�,y,,S�,c}Jn}�7 ,N�.Q `°�Q.t4"tix'i' . -:$e! ❑ .. Date qualified ..., .. -.. . -: .: .:. _.,. .,.. . ..,: v.. ;,.,n.a "-.Mr""':-,,,.. .h;: -Y:i' ➢ - 04'40,4141g >Y t'i:L ,. a'• 3•. L t 7X.: C;<R.�:s�i �...;�. .:- .. 'P::>aw 10. r.! -�� tn' `•r .��',�t aa,,'�"'� - tF Y:,., b. ..�:..Z,•:t,e W ,# $ n' A��rifi Ptt n le l? • • S'� �!`0,41t 1 f b :So(yioi lTl candi'5�..i s.hav ' e.�i►�? ri • 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 areleaving office and by defeated candidates. Refer to Government Code Section 89519. I — 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:adviceftfp c.ca.gov(866/275-3772) • www.fppc.ca.gov