HomeMy WebLinkAboutMarx, Jan 410 08-14-2020Kj-/r
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Statement of Organization I , J �� '
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Date Stamp
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Recipient Committee
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Statement Type 91nitial ❑ Amendment
❑ Termination — See Part 5REGMEDAND
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Not yet qualified
the office of the Secretary of St
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or
of the State of California
Date qualification threshold met Date qualification threshold met
Date of termination
AUG 14 2020
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CommitteeI.
2. Treasurer and
Other Pri6cipalOfficers
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NAME OF COMMITTEE
NAME OF TREASURER
Jan Marx for City Council 2020
Gregory Ty Griffin
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
San Luis Obispo
CA
93401
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
San Luis Obispo CA 93405
Jan Marx
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
same
265 Albert Drive
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY
STATE
ZIP CODE
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE 15 ACTIVE
NAME OF PRINCIPAL OFFICER(S)
San Luis Obispo
City of San Luis Obispo CA
Jan Marx
Attach additional information on appropriately labeled continuation sheers.
CITY
STATE
ZIP CODE
) have used all reasonable diligence In preparing this statement and tote Dest of my knowledge the Information containe herein is true and complete. I certify under
penalty of perjury under the laws of the State
Executed on
DATE
Executed on
DATE
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.aov (866/275-3772)
www.fppc.ca.aov
Statement of Organization CALIFORNIA
Recipient Committee .
M 410
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
Jan Marx for City Council 2020
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Founders Community Bank
ADDRESS
863 Marsh Street
AREA CODE/PHONE
805-547-2535
CITY
San Luis Obispo
BANK ACCOUNT NUMBER
STATE ZIP CODE
CA 93401
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) ELECTION CHECK ONE
Jan Marx San Luis Obispo City Council 2020 Nonpartisan Partisan
n/a Nonpartisan F Partisan
(list political party
party
• . • • 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
na
SUPPORT OPPOSE
n/a I I SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advire @fppc_ca.gQv (866/275-3772)
www.func.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Jan Marx for City Council 2020
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
n/a
Sponsored Committee List additional sponsors on an attachment.
NAMt Uh bFUNSUH
n/a
IIn«I mlun— NU. AINU �,I HttI
n/a
❑
Date
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
Page 3
I.D. NUMBER
STATE ZIP CODE AREACODE/PHONE
• 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: adviceCoDfgpc.ca. ov (866/275-3772)
www.fppc.ca.gov