HomeMy WebLinkAboutBoswell - Form 410_2024-05-06_RedactedStatement of Organization
Recipient Committee
Statement Type ® initial ❑ Amendment ❑ Termination —See Parl 5
Ia Not yet qualified
or
Q Date qualification threshold met Date qualification threshold met Date of termination
7N.-E
!A. NumberdF COMMITTEE NAME OF TREASURER
Michael R. Boswell II
Boswell for SLO City Council 2024 STREET ADDRESS (NO PO BOX)
W
EMAIL ADDRESS OF TREASURER
._ ■ NAME OF ASSISTANTTREI
CITY STATE ZIP CODE AREACODE/PHONE
San Luis Obispo CA 93401 805-235-7877 STREET ADDRESS (NO P.O.
FULL MAILING ADDRESS (IF DIFFERENT)
Date Stamp
RECEIVED
MAY 0 6 2024
) CITY CLERK
IRED)
EMAIL ADDRESS OF ASSISTANT TREASURER IREQUIRED)
E-MAIL ADDRESS OF COMMITTEE (REQUIRED)/ FAx (OPTIONAL)
boswellforslo@gmail.com NAME OF PRINCIPAL OFFICERIS)
COUKMOFDOMICILE IURISDICTION WHERE COMMITTEE IS ACTIVE Michael R. Boswell II
San Luis Obispo City of San Luis Obispo STREET ADDRESS (NO P.O. ROIL)
M
EMA L ADDRESS OF PRINCIPAL O
Attach additional information on appropriately labeled continuation sheets.
CITY
San Luis Obispo
Cm
CITY
San Luis Obispo
For Official Use Only
STATE ZIP CODE
CA 93401
AREA CODE/PHONE
805-235-7877
STATE ZIPCODE
AREA CODE/PHONE
STATE ZIPCODL
CA 93401
AREA CODE/PHONE
805-235-7877
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 foregoing is true and correct.
Executed on
M i2o 3 , zO2-I!17 Ry
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)'NATURE OF T-RWURER OR ASSISTANT TREASURER
Executed on
r, Z r zo?_q-- By
DATE
IuNA uR or L NTROLLING OPnCEKKI3119. CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
BY
DATE
SIGNATURE OF CONTROIUNG OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (October/2023)
FPPC Advice: advice@fooc ca.eov (866/275-3772)
www.foDc.ca.¢ov
Statement of Organization
CALIFORNIA'
Recipient Committee
• -
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
LD_ NUMBER
Mike Boswell for SLO City Council 2024
• All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records.
NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS
AKEA CODE/PHONE
BANK ACCOUNTNUMBER
American Riviera Bank; Michael R. Boswell II
805-540-6243
pending filing 410
ADDRESS OF FINANCIAL INSTITUTION
CITY
STATE ZIP CODE
1085 Higuera Street
San Luis Obispo
CA 93401
4. Type of 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 PAM
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Michael R. Boswell II
San Luis Obispo City Council
2024
Nonpartisan
10(
Partisan
(list political party below)
Nonpartisan
Partisan
(list political parrybelow)
• Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE($) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO OR LETTER)
IFA 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
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 420 (October/2023)
FPPC Advice: advice@fDoc.ca.gov (866/275-3772)
www.foac.ca.gov
Statement of Organization
Recipient Committee
INSTRUCEION5 ON REVERSE
Mike Boswell for SLO City Counci12024
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PNUVIUL dMILt VLsC1D P I IUNOF ACT IVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
GROUP ORAFFILIATION OF SPONSOR
Pap 3
5TREETADDRESS NO ANDSTREET CITY STATE ZIP CODE AREA CODE/PHONE
Small Centributor Committee
Date 4..1 led
Requirements5. Termination By sign;ng the verificatio-), the treasurer, assistant treasurer and/or candidate, officeholder, or ponent certify that all of the following condit'ons have been rne,.:
• 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 (October/2023)
FPPC Advice: advicegDfppc.ca.eov_(866/275-3772)
www.fpac.ca.Rov