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Home My WebLink AboutBoswell - Form 410_2024-06-28_Amendment No. 1_RedactedRECEIVED JUN 2 8 H24 Statement of Organization Recipient Committee SLO CITY CLERK Statement Type ❑ fnitial ® Amendment Im Termination — See Part 5 C) Not yet qualified or Q Date qualification threshold met Date qualification threshold met 1 06 / 21 2024 I.D. Number 1469263 NAME OF COMMITTEE Mike Boswell for SLO City Council 2024 STREET ADDR CIT° STATE ZIP CODE AREA COOF/PHONE San Luis Obispo CA 93401 805-235-7877 -ULL MAILING ADDRESS (IF DIFFERENTI E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL) boswellforslo@grnail.com COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE San Luis Obispo City of San Luis Obispo Attach additional information on appropriately labeled continuation sheets. Date of termination NAME OF TREASURER Michael R. Boswell II Dale Stamp Far Otfldal Use only STREET ADDRESS (NO RO. BOX) CITY STATE ZIP CODE �— San Luis Obispo CA 93401 EMAIL ADDRESS OF TREASURER (REQUIRED) AREA CODE/PHONE 805-235-7877 E OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) NAME OF PRINCIPAL OFFICER(S) Michael R. Boswell II STREET ADDRESS (NO P.O. BOX) CITY San Luis Obispo EMAIL ADDRESS OF PRINCIPALOFFICER(S) (REQUIRED) E ZIoCL;DE AREA CODE/PHONE STATE ZIP !'OOE 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 r•ntif^. ;, rh�srl.s�res.,t.,g is true and correct. Executed an �L gy D TE SIG NATO RE OFrREASURtR OR ASSISTANTTREASURER Executed on T By ATE C JIM—nFCnNT4fL IING n[nR-- ..,,v — ..,. —........... Executed on By DATE SIGNATURE OF CONTROU.ING OFFICEHOLDER, CANDIOATE.OR STATE MEASURE PROPONENT Executed on DATE By SIGNATURE Of CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (october/2o231 FPPC Advice: advice (@fooc.ca.ao: (966/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Mike Boswell for SLO City Council 2024 1469263 • 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 American Riviera Bank; Michael R. Boswell II 805-5M-6243 - ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE 1085 Higuera 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 HELD YEAR OF PARTY NAME OF CANDIDA, E/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) PI FCTInN Michael R. Boswell II San Luis Obispo City Councilcil 2024 Nonparusan Parrlsan (list political party below) Or Naipart'san Partisan (Kst political party be.ow) . Primarily Formed Committee 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 ... - - - - - -- .... _... _.. _... _........,..., ... .....�.�� i CHECK SUPPORT ONE OPPOSE SUPPORT OPPOSE FPPC Form 410 (OctoiberJ2023) FPPC Advice: advice(c-uroac.ca.eov (866/275-3772) www.faoc.ca,eov Statement of Organization Recipient Committee 0" IN ST RUCTIONS ON REVERSE Yeas 3 COMMITTEE NAME I.D. NU Mike Boswell for SLO City Council 2024 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 PROVIDE BRIEF DESCRIPTION OF ACTIVITY CommitteeSponsored list additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE • 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/ 202 3) FPPC Advice: advice c.ca. ov (866/275-3772) www.f c.ca. o