Caylin Frank for Poway Council 2024 410 Amendment 09/25/2023Statement of Organization Date Stamp
Recipient Committee RECEIVED
Statement Type ❑ Initial ® Amendment ❑ Termination — See Part 5 For Official Use Only
O Not yet qualified S E P 2 5 2023
or
O Date qualification threshold met Date qualification threshold met Date of termination CITY OF POWAY
09 23 2023 1 L ITY CLERK'S OFFICE
1. Committee Information I.D. Number 146279a 2. Treasurer and Other Principal Officers
{if applicable)
NAME OF COMMITTEE
Caylin Frank for Poway Council 2024
STREET ADDRESS (NO P.O. BOX)
NAME OF TREASURER
Nancy Haley
STREET AODRESS(NO PO BOX)
CITY STATE
Encinitas
CITY STATE 21P CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Poway CA 92064 ( Danielle Stephen
FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX)
21P CODE
CA 92024
AREA CODE/PHONE
E-MAIL ADDRESS IREQUIRED)/FAX (OPTIONALI CITY STATE DECODE AREA CODE/PHONE
San Diego
)URI5DICTION WHERE COMMITTEE 15 ACTIVE
City of Poway
Attach additional information on appropriately labeled continuation sheets.
Encinitas CA 92024 (
NAME OF PRINCIPAL OrrICERISI
STREET ADDRE$5 (No PO. BOX)
CITY
STATE DECODE AREA CODE/PHONE
3. Verification
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 09/25/2023 By "
DATE SIGNATURE OF TREASURER ORASSISTANT TREASURER
Executed On 09/25/2023 By
DATE
SIGNATURE OF CONTROLLING OFTCEHOLDCR, CANDIDATE, OR 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 1866/275-3772)
www.fppc.ca.gov
netfile. com
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2 of 4
COMMITTEE NAME
I.D. NUMBER
Caylin Frank for Poway Council 2024 1462798
• All committees must list the financial institution where the campaign bank account is located.
NAME Or FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Torrey Pines Flank (760)444-8400
ADDRESS CITY STATE ZIP CODE
2760 Gateway Road
4. Type of Committee Complete the applicable sections.
Carlsbad
CA 92009
• 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 CHFCKnNF
Caylin C. Frank
City Council Member City of Poway
District 4
2024
Nonpartisan
R
Partisan
(list political party below)
Nonpartisan
Partisan
(list political party below)
Primarily Formed Commiffee 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) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE(5) )URISOICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT I OPPOSE
OPPOSE
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
Page 3 of 4
COMMITTEE NAME
I, D. NUMBER
Caylin Frank for Poway Council 2024
4. Type of Committee (Continued)
PurposeGeneral 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
• List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFICIATiON OE SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODEIPHONE
Smoff Contributor Committee❑
Date qualified
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been met:
• 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: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Additional Comments
For Form 410
ADDITIONAL COMMENTS
Page 4 of 4
COMMITTEE NAME I.D. NUMBER
Caylin Frank for Poway Council 2029 1462798
Qualification & Banking Information
www.netfi'le.com