HomeMy WebLinkAboutFrancis - Form 410 - 2024-01-12 Termination_RedactedStatement of Organization Date Stamp .
Recipient Committee
Statement Type REC IVED SeND Fcretary ILED
of the e •
❑ Initial ❑ Amendment ® Termination — See art �For Official Use only f 'e State of California
O Not yet qualified
or DEC 26 2M
O Date qualification threshold met Date qualification threshold met Date of termination
1 10/ 13 2023
• I.D. Number i LiLi 51-4 to • . , •
opicoble)
NAME OF COMMITTEE NAME OF TREASURER
Fanily Francis for SLO City Council 2022 Trent Johnson
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS(NO P.O.50.x) CITY STATE ZIP CODE
San Luis Obispo CA 93405
CITY STATE UP CODE gREACODE/PHONE NAME OF ASSISTANTTREA,SURER,IFANY
San Luis Obispo CA 93401
FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS [NO P.O. BOX)
EMAIL ADDRESS (REQUIRED)/FAX (OPTIONAL) CITY STATE BPCODE AREA CODEiPHONE
QnV L I C , -C
COUNTY Of DOMICILE IURISDICTION WHERE COMMITTEE 15 ACTIVE NAME OF PRINCIPAL OFFICERS)
Lur s C�ofS�o 5'ew Luls Db+s o C•
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets. ICIIT STATE ZIP CODE AREACODE/PHONE
I nave used an reasonable diligence in preparing this statement and tot 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 h is true and correct.
Executed on l By RECEIVED
DATE IGNATURE TREASURER OR ASSISTANT TREASURER
Executed on 1 L�l�i I " By JAN y 1
DATE 5ILNAT URE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT 1
Executed on DATE By SILO CriV CLERK
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice(a@fooc.ca.¢ov (866/275-3772)
www.f0DC.ca.eov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
-rrAI I L'4 �FMtn U s
S Lo b*�" co In C- 1 202 Z
All committees must. list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
PvV%a&ain tZ%vltrn' 3AAk 51` 7- 5500 -4134
ADDRESS CITY STATE ZIP CODE
I 0 $ S 4( KcrA .Sah lots C6ZS ?a Cfl 1013466
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.
Page 2
I.D. NUMBFR
ly
• 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 r Frr nur
£ rv�il �-uhuS
CA l �0 on Ct 1 mt��
j �'J'
CA o Ca % � is 6o
2022
Nonpartisan
�/
J�
Partisan
(list political party below)
Nonpartisan
Partisan
(list political party below)
FormedPrimarily 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, ASAPPLICABLE)
CHECK ONE
FPPC Form 410 (August/2018)
FPPC Advice: adviceMpoc.ca.gov (866/275-37721
www.fopc.ca
Statement of Organization
Red pient.Comm ittee
INSTRUCTIONS ON REVERSE
'NAME
Erne -i FRnq:j yCv"- SCA Ct 4,1 Coup ere / 207-2-
CommitteeGeneral Purpose Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROV'nE BRIEF DESCRfaTION OF AOTP✓ITY
SPOnsOrPd Corrmittee IList additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS N0.
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
Pace 3
CODE/PHONE
Sma!lContributorCommittee
S. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or ponent certify that all of the following conditions have R—,.t�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 Fprm 410 August/2018)
FPPC Advice: advicefa)fppc.ca.eov (966/275-3772)
www.fppc.ca.eov