HomeMy WebLinkAboutMarx - Form 410_2024-12-12_Termination (SOS Copy)_Redactedl^557033 QO RECEIVED AND FILED
ilfr"-"ff# ot ine Secretary ot State' of the State of Calilornla
COUNTY OF DOMICILE
fltnitial
Q Not yet qualified
or
Q oate qualification threshold met
Attach additional information on oppropriately labeled continudtion sheefs
JURISDICTION WHERE COMMITTEE IS ACTIVE
E.MAIt ADDREss oF coMMITTEE {REAUIRED) / FAX (OPTIONAL)
j anmarx@s tanf ordalumni . org
FULL MAILIN6 ADDRESS {IF DIFFERENT)
STATE
CA
ZIP CODE
93405san Luis obispo
AREA CODE/PHONECITY
STREET ADDRESS {NO P.O, BOX)
951 Citrus Court
Jan Marx for City Council 2024
NAME OF COMMITTEE
l.D. Number
146 o02
fIHGEflVEM
f{0v g' 2 2024
.$10 OllY fi,t"HRK
fl Amendment Termination - See Part 5
Date Stamp
I
1-Z o
For fficial Use Only
Date qualification threshold met Date of termination
AREA CODE/PHONEEMAIL ADDRESs OF PRINCIPAL (REaUIRED)
STREET ADDRESS {NO P.O. BOX)ZIP CODECITYSTATE
NAME OF PRINCIPAL OFFICER(S)
EMAIL ADDRESS OF ASSISTANT TREASURER (REqUIRED)AREA CODE/PHONE
NAME OF ASSISTANTTREASURER, IF ANY
EMAIL ADDRES5 OF TREAsURER (REAUIRED]
tygrif@grnai1. com
AREA CODE/PHONE
(805t 543 -2679
CITYSTREET ADDRESS (No Po. Box)STATE ZIP CODE
9340I
ctTy cosTREET ADDRESS P.O. BOX)
san Luis obispo cA2075 Eutton
NAME OF TREAsURER
Griffin
1. Committee lnformation 2. Treasurer and Other Principal Officers
3. Verification
Statement Type
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 true and
Statement of Organization
Recipient Committee
Executed on tr/22/2a24
DATE
Executed on tt/22/2024
DATE
Executed on
DATE
25
RER
SIGNATURE OF N6 OFF CANDIDATE, OR
SIGNATURE OF CONTROLLIN6 OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
cregory Griffin RECEIVED
DEC I 2 20?4
SLO CITY CLERK
By
By
By
By
FPPC Form 410 {october/2023)
FPPC Advice: advice@f pp c. ca. sov (866 | 27 5-377 2l
www.fppc.ca.Eov
Executed on
DATE SIGNATURE OF CONTROLLING O CAN