HomeMy WebLinkAboutBenson - Form 410 - 2022-05-24_Amendment No. 2 (SOS Copy)_Redacted1459430
Statement of Organization
Recipient Committee
Statement Type ❑ Initial
0 Not yet qualified
or
0 Date qualified as committee
® Amendment ❑ Termination — See Part 5
05 ' 24 12022 1
Date qualified as committee Date of termination
1. Committee Information I.D. Number
(if applicable) 1446160
NAME OF COMMITTEE
Joe Benson for Council 2022
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
AREA CODE/PHONE
San Luis Obispo CA 93401 (805)225-6002
MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (OPT
electjoebenson@gmail.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo San Luis Obispo
Date Stamp
C;ZiVED
s� aoffice ofme�rya
of the State of Cairfom;a
MAY 312012
2. Treasurer and Other Principal Officers
Robert McCann
STREET ADDRESS (NO P.O. BOX)
CITY
For Official Use Only
STATE ZIP CODE AREA CODE/PHONE
San Luis Obispo CA 93401 (805)471-3739
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets. CITY
STATE ZIP CODE AREA CODE/PHONE
3. Verification
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 fvreeoirm is true and correct_
Executed on 5/24/2022 By
DATE
Executed on 5/24/2022 By
Y
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
RECEIVED
JUN 2 9 2023
SLO CITY CLERK
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2 Page 2 of 3
COMMITTEE NAME
I.D. NUMBER
Joe Benson for Council 2022 1446160
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Pacific Premier Bank (805)544-7200 8000397289
ADDRESS CITY STATE ZIP CODE
1144 Morro Street San Luis Obispo CA 93401
4. Type of Committee Complete the applicable 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
City Council Member: City of San Luis Obi
po
Nonpartisan
Partisan
(list political party below)
Joe Benson
2022
X
Nonpartisan
Partisan
(list political party below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATEW NAME OR MEASURES) 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 OPPOSE
OPPOSE
FPPC Form 410 (Febru ary/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3 page 3 of 3
1.D. NLIMI3E3
Joe Benson for Council 2022 1446160
4. Type of Committee (Continued)
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 ❑ Political Party/Central Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
51 REET ADDRESS NO. AND STREET
Small Conir'ibutor Committee
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE AREA CODE/PHONE
5. Termination Requirements By 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 (February/2018)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fpipc.ca.gov