HomeMy WebLinkAboutMarx - Form 410_2024-05-20 (SOS Copy)_RedactedStatement of Organization � � �Date Stamp
Recipient Committee I4 OO 2---
RECEIVED AND FIL
Statement Type ® initial ❑ Amendment ❑ Termination — See Part 5n the office of the Secretary of c
® Not yet qualified of the State of California
or A
Q Date qualification threshold met Date qualification threshold met Date of termination APR 2 6 2024
0 -
1. Committee Information ' - 2. Treasurer and
Jan Marx for City Council 2024
-IRE ET ADDRESS (NO P.O. BOX)
W_=
CITY STATE ZIP CODE AREA COOEJPHONF
San Luis Obispo CA 93405 (805) 541-2716
FULL MAILING ADDRESS (IF DIFFERENT)
same
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
janmarx@stanfordalumni.org
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
San Luis Obispo I City of San Luis Obispo
NAME OF1REASURER,
Gregory Ty Griffin
STREET ADDRESS (NO P.O. BOX)
mmm
EMAIL ADDRFSS OF TREASURER (REQUIRED)
TREASURER, IF ANY
Jan Marx
STREET ADDRESS (NO P.O. BOX)
EMAIL ADDRESS OF A551STANYTREASURER (REQUIRED)
janmarx@stanfordalumni.org
NAME OF PRINCIPAL OFFICER(S)
Jan Marx
STREET ADDRESS (NO PO. BOX)
EMAIL ADDRESS OF PRINCIPAL OFFICERIS) (REQUIRED)
Attach additional information on appropriately labeled continuation sheets.
janmarx@stanfordalumni.org
San Luis Obispo
CITY
San Luis Obispo
CITY
San Luis Obispo
For Official Use Only
SFAI E LIR WUt
CA 93401
AREA CODE/PHONE
STATE ZIP CODE
CA 93405
AREA CODE/PHONE
(805)541-2716
STATE ZIP CODE
CA 93405
AREA CODE/PHONE
(805) 541-2716
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
f nnder the laws of the State oalifornia that the foregoing is true correct.
Executed on Ct rl 22i )-J 2� By
I DATE TVRE LiF TREASU R 5! RECEIVED
Executed on Y l 2 )a 2 if By
GAIE SIGNATURE OFCONTFIOLUNG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT 'nhi` M Y 2 O 2024
Y
Executed on By OATS SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT SLO CITY CLERK
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (October/202:
coop AA.,,,...• tea.,:, rit. ,.. ....., rQcc1'37C.277•
Statement of Organization -4 1 U
Recipient Committee
INSTRUCTIONS ON REVERSE Pap
I.D. NUMBER
COMMITTEE NAME
Jan Marx for 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 AREA CODE/PHONE BANK ACCOUNT NUMBER
Bank of the Sierra Jan Marx GregoryTy Griffin (805) 541-2716 pending filing 410
ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE
500 Marsh Street San Luis Obispo CA 93401
• 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 HELL YEAR OF PARTY
un�nArrincn I. n I n.92AreTF MF6SI I B F PROPONFNT lmri unF nISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
San Luis Obispo City Council
2024
Nonpartisan
Partisan
(list political party below)
Jan Marx
Nonpartisan
Partisan
(fist political party below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATES) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
. -1— . -- o 1A, I- .N FonNr nr TNF nFFIrFHnI nFR"; NAME. (INCLUDE DISTRICT NC , CITY OR COUNTY, AS APPLICABLE) CHECK ONE
FPPC Form 420 (October/202:
---- - - ----- -.,,..1...11
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
:OMMITTEE NAME
Jan Marx for City Council 2024
Generof 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
PROVIDE BRI EF DESCRIPTION OF ACTIV VTY
.. List additional sponsors on an attachment.
NAME OF SPONSOR
GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE
Datc
• 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.
Page 3
ZIP CODE AREA CODE/PHONE
— There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Referto
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.
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