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HomeMy WebLinkAboutMarx, Jan 410 08-14-2020Kj-/r Id900--704 Statement of Organization I , J �� ' l I Date Stamp i - A Recipient Committee ■ Statement Type 91nitial ❑ Amendment ❑ Termination — See Part 5REGMEDAND FIL FDrOficialUseOnly Not yet qualified the office of the Secretary of St tF or of the State of California Date qualification threshold met Date qualification threshold met Date of termination AUG 14 2020 1-1 2 p2�10 I /� 1 1 1 CommitteeI. 2. Treasurer and Other Pri6cipalOfficers ! e 1rce6fe 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