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Caylin Frank for Poway Council 2024 410 Initial 09/28/2023I Statement of Organization 37 1462798 Recipient Committee L Statement Type ® Initial ❑ Amendment ❑ Termination —See Part 5 Not yet qualified or Q Date qualification threshold met Date qualification threshold met Date of termination I.D. Number (if applicable) NAME OF COMMITTEE Caylin Frank for Poway Council 2024 Pending STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Poway CA 92064 ( FULL MAILING ADDRESS (IF DIFFERENT) E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE San Diego ' City of Poway Attach additional information on appropriately labeled continuation sheets. -1 / NAME OF TREASURER Nancy Haley STREET ADDRESS (NO P.O. BOX) Date Stamp DIGITALLY RECEIVED AND FILED in the office of the California Secretary of State SEP 01 2023 For Official Use Only RECEIVED R / RA SEP 2 8 M' CITY STATE ZIP CODE AREA CODE/PHONE Encinitas CA 92024 ( NAME OF ASSISTANT TREASURER, IF ANY Danielle Stephen STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Encinitas CA 92024 ( NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 3: Veri `cation ..1 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 09/02/2023 Executed on DATE 09/02/2023 DATE By . SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE Executed on DATE neifile.com SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By 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 Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Caylin Frank for Poway Council 2024 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION Torrey Pines Bank ADDRESS AREA CODE/PHONE (760)444-8400 CITY BANK ACCOUNT NUMBER STATE ZIP CODE 2760 Gateway Road Carlsbad CA 92009 4: Type of Committee Compete the applicable sections. I.D. NUMBER 2 of 3 Pending • 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 CHECK ONE Caylin C. Frank City Council Member City of Poway District 4 2024 Nonpartisan x Partisan (list political party below) Nonpartisan Partisan (list political party below) 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) IF A RECALL, STATE "RECALL' IN FRONT OF THE OFFICEHOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE T O 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 COMMITTEE NAME Caylin Frank for Poway Council 2024 Page 3 of 3 I.D. NUMBER General Purpose Committee-'' 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 •iT�.�t�:t� List additional sponsors on an attachment. NAME OF SPON50R INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE Small Contributor El Date qualified S.'Termination ;Requirements 8y 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