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HomeMy WebLinkAboutBenson - Form 410 - 2022-03-31_Redacted,- Statement of Organization Recipient Committee }Lfl+blfcD O Amendment D StatementType l~ll!~,n-iti-.a-,~~~~~~~,~~~~~~~~-,~~~~~~~.:---~:~·~ 0 Not yet qualified or O Date qualification threshold met I Date qualification threshold met bl•l NAME OF CO MMITTEE Joe Benson for Council 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE San Luis Obispo CA 93401 FULL MAILING ADDRESS (IF DIFFERENn E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL) electjoebenson@gmail.com COUNTY OF DOMICILE San Luis Obispo JURISDICTION WHERE COMMITIEE IS ACTIVE City of San Luis Obispo AREA CODE/PHONE 805-225-6002 Attach additional information on appropriately labeled continuation sheets. -s Executed on - Date of termination NAME OF TREASURER Robert McCann STREET ADDRESS (NO P.O. BOX) CITY San Luis Obispo NAME OF ASSISTANT TREASURER, IF ANY NIA ST REET ADDRESS (NO P.O. BOX) CITY NAME OF PRINCIPAL OFFICER(S) Joseph (Joe) Benson STREET ADDRESS (NO P.O. BOX) CITY San Luis Obispo OateStamp DATE SIGNATURE OF CONlRO LLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLOE!I, CANDIDATE, OR STATE MEASURE PROPONENT Executed on ---By DATE SIGNATURE or CO NTROLLING OFF ICEHOLD ER, CANDIDATE. OR STATE MEIISURE PROPONENT STATE CA STATE STATE CA CALIFORNIA 410 FORM for Official Use Only ZIP CODE AREA CODE/PHONE 93401 805-471-3739 ZIP CODE AREA CO D E/PHONE ZIP CODE AREA CODE/PHONE 93401 805-225-6002 RECE IVED MAR 31 2022 S LO CITY CL ERK FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee CALIFORNIA 410 FORM INSTRUCTIONS ON REVERSE Page2 COMMITTEE NAME I.D.NUMBER Joe Benson for Council 2022 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER ADDRESS QTY STATE ZIP CODE Co·Jtro lli:'d C,pr·m,tft't' 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. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY OiECKONE Joe Benson San Luis Obispo City Council 2022 Nonpartisan ., Nonpartisan Pr1•naflly Fanr•i:'d Com1'1iIT<:'<:' 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) Partisan Partisan {list political party bebw) (list political party below) CHECK ONE I I r·~~ I o·~~ I SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca .gov (866/275-37n) www.fppc.ca.gov \, Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME CALIFORNIA 410 FORM Scre'c, ·">v,µJse Co n·n 1 tte€ Not formed to support or oppose specific candidates or measures in a single election. Check only one box: D CllY Committee O COUNTY Committee D STATE Committee PROVIDE BREf DESCRIPTION OF ACTIVITY Sp c•1,c,;,o (o,-r:m,rtee-List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS ND . AND STREET CITY STATE ZIP CODE AREA CODE/PHONE S•ra/1 Cor'tr·butor Comm•ttc't= 0 _ _, __ -1· D_at_e ci,::ali_fied 5 , Termination Re qui re men ts t"y <,·sn ;n i ~,-, ... ~·,?:1'.tc-Jt :c·1. th e tl2'.'h~Ht-!:, ;h~hl d'll V l:'3 ;u~~r ,:.n CJ/ry ~~·:~cL ,::L=tt ,:., o:h ·>_·htr id -:-: :''_)' :.)'_:-,~c'f~t c..<:n ·i f i :;Bt ri ll ,)f th ~ :~_,ll 1J','.'1ri _=;: ·.:-.:·~·d i~i .:.·-.; '."', -L'f: t -2':'r. m,.;,:: • 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 (Augustf2018) FPPC Advice: advi ce@fppc.ca.gcv (866/275-3772) www.fppc.ca .gov