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Caylin Frank for Poway Council 2024 410 Amendment 10/05/2023NAME OF COMMITTEE Caylin Frank for Poway Council 2024 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP COCE AREA CODE/PHONE Poway CA 92064 ( FULL MAILING ADDRESS (IF DIFFERENT) E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE San Diego City of Poway Attach additional information on appropriately labeled continuation sheets. Executed on DATE Executed on DATE netfile.com NAME OF TREASURER Nancy Haley STREET ADDRESS (NO P.O. BOX) CITY STATE ZIPCODE 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 By 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 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 OF FINANCIAL INSTITUTION ( AREA CODE/PHONE ( BANK ACCOUNT NUMBER Torrey Pines Bank (760)444-8400 ADDRESS CITY STATE ZIP CODE 2760 Gateway Road Carlsbad CA 92009 4 Type of CotTtmittee Comp)e` t "applica15 sections:' • 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) 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 i OPPOSE 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 of 4 COMMITTEE NAME I.D. NUMBER Caylin Frank for Poway Council 2024 PROVIDE BRIEF DESCRIPTION OF ACTIVITY Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY CommWee ❑ COUNTY Committee ❑ STATE Committee List additional sponsors on an attachment. NAME OF SPONSOR (INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA COOE/PHONE 7etk7lY•C•L117T P!{eIL4r]ii7rirt;!ga- ❑ Ww qualified 5, Terminatrr�n Rec{urremen#s By signing#n�.verificatjon,`thet±easurer-.assist ant treasurerandJorcarididate,officeholder or,praptir;e,Ttcertifytnatalloftheiollowingcgndtionsha4ebeenmet .. . • 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 NUMBER NU Caylin Frank for Poway Council 2024 I.D. .D.NU 8 Qualification & Banking Information www.nelfile.com