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Home My WebLink AboutBoswell - Form 410_2024-07-17_Amendment No. 1 (SOS Copy)_Redactedy'D Statement of Organization Recipient Committee Statement Type ❑ Initial ® Amendment Q Not yet qualified or O Date qualification threshold met Date qualification threshold met 6 21 2024 I.D. Number 1469263 (IJaA��NJ NAME OF COMMITTEE Mike Boswell for SLO City Council 2024 STREET ADDRESS (NO P.O. BOX) M11IIIIIIIIIIII[E CITY STATE ZIP CODE AREA CODE/PHONi San Luis Obispo CA 93401 805-235-7877 FULL MAILING ADDRESS(F DIFFERENT) E-MAIL ADDRESSOF COMMITTEE (REQUIRED)/ FAX (OPTIONAL) bosweUforslo@grnaii.com San Luis Obispo City of San Luis Obispo Attach additional information on appropriately labeled continuation sheets. Date Stamp R CEIVED AND FILE W ❑ Termination — See Pad'S( .e office of the Secretary of Stat For Official Uu Only of the State of California Date of termination JUL 0 12024 --/ L l<T I. Treasurer and Other PrincipalOfficers NAME OF TREASURER Michael R. Boswell 11 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE �— ■ San Luis Obispo CA 93401 EMAIL ADDRESS OF TREASURER (REQUIRED) AREA CODE/PHONE 805-235-7877 NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE EMAIL ADDRESSOF ASSISTANT TREASURER (REQUIRED) AREACODE/PHONE NAME OF PRINCIPAL OFFICER(S) Michael R. Boswell II STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE �— San Luis Obispo CA 93401 EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) 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 Stat is true and correct. Executed on D E Ely 13NAlUREOF7REASURERORASSISTANT TREASURER RECEIVED Emcutedon 6 � By JUL 17 2024 91DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CAN OIDATE, OR STATE MEASURE PROPONENT Executed on By SLO CITY CLERK DATE 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 (Octotoer/2023) FPPC Advice: adviceWooc.ca.gov, 1866/275-3772) www.fa•c.ca.eov Statement of Organization CALIFORRIA' Recipient Committee • - INSTRUCTIONS ON REVERSE Pap 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 personls) authorized to obtain bank records. NAME OF FINANCIAL INSTITUTION AN D P' RSOl AUTHORIZED TO OBTAIN BANK RECORDS AREA CODE/PHONE BANK ACCOUNT NUMBER American Riviera Bank; Michael R. Boswell II 805- 540-6243 - ADDRESS OF FINANCIAL INSTITUTION CITv 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 CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ( NCUIDF DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Michael R. Boswell II San Luis Obispo City Council 2024 Nonpartisan Partisan (I st pohr-a- party below) Nonpartsan Partisan (-st poRtlwl party below) Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATES) NAME OR MEASURE(S) FULL TITL E (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 SUPPORT OPPOSE 1�FF�F.7 fIPPQiE FPPC Form 410 (October/2023) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.Cal Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Mike Boswell for SLO City Council 2024 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 List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET CITY INDUSTRY GROUP OR AFFILIATION OF SPONSOR Pap 3 I.D. NUMBER STATE ZIP CODE AREA CODE/PHONE Small Contributor Committee Oat. gwl"d S. Termination Requirements By signing the verification, the treasurer, assistant treasurer andlor"I'Ididate, officeholder, or po"nt certify thatall ofthe foilowinliconciffions hayebeen 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 abilityto 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: advke(t�foac.ca.eov (8661275-3772) www.fanc.ca.eov