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HomeMy WebLinkAboutMarcia Nelson - Form 470 - 10-10-2008Officeholder and Candidate Campaign Statement - Short Form (Government Code Section 84206) 1. Statement Covers Calendar Year 20 Type or print in ink. Date of election if applicable: (Month, Day, Year) Nov, zoo$ ❑ Amendment (Explain Below) 2. Officeholder or Candidate Information 3. Office Sought or Held NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD MAkI,> i K, tee STREET ADDRESS CITY STATE ZIP CODE REC VET E OCT 10 20081 1 For Official Use Only SLO CITY CLE K SA N L_t k c5 o i3) sPd C t T `/ Co LA—Ks c I t__ JURISDICTION (LOCATION) DISTRICT NUMBER SAo 4 L-l'k is Q iF' (s v Q (IFAPPLICABLE) SA11 L-(_Aus Oz lsoo cA. 934 o) AREACODE/DAYTIME PHONE NUMBER OPTIONAL: FAX/ E -MAIL ADDRESS �0 5 2-!7S- 0 3 t a 4. Committee Information List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME AND I.D. NUMBER 5. Verification COMMITTEE ADDRESS NAME OF TREASURER I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $1,000 and that I will spend less than $1,000 during the - calendar year and that I have used all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. } Executed one DATE By SIGNATURE OF OFFICEHOLDER OR CANDIDATE FPPC Form 470/470 Supplement (January/08) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) City of San Luis Obispo RECEIVED Supplemental Campaign Statement Summary 2 Committee Name:Marcia K. Nelson SLO CITY CLERK Type of Committee: Candidate Controlled Committee Statement Period Covers: Formation - October 27, 2008, 5:00 p.m., 8 Days Prior to the Election Statement Due by Noon 7 Days Prior to the Election: October 28, 2008 (Faxed copies not permitted.) Contributions Received la. Monetary contributions - $50 or less 0 1b. Monetary contributions -more than $50 (Schedule Al) 0 2. Loans received (Schedule B) 850 3. Non - monetary contributions (Schedule B) 10 4. Total contributions (lines 1 a, 1 b, 2, 3) 860 itures Made 5. Expenditures (including repayment of loans) (Schedule C1) 860 6. Loans made to other candidates (Schedule C2) 0 7. Accrued expenses (unpaid bills) (Schedule C3) 0 8. Total Expenditures (lines 5, 6, 7) 860 Verification 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 and the City of San Luis Obispo that the foregoing is true and correct. Executed on 10121/08 at San Luis Obispo, CA by Marcia K Nelson (Date) (City & State) (Signature of Treasurer) I have reviewed this Statement and to the best of my knowledge the information contained is true and complete. I certify under penalty of perjury under the laws of the State of California and the City of San Luis Obispo that the foregoing is a true and correct. ✓ �/ Executed on 10/21/08 at San Luis Obis o, CA. By Marcia K. Nelson (Date) (City & State) (Signature of Candidate) Submit electronic and paper copies of this form and supporting schedules to City Clerk's office. See Sections 2.40.070 and 2.40. 110 of the Municipal Code regarding the requirements to file and the penalties for failing to do so. Schedule B Loans and non - Monetary Contributions Loans NMC 3 = number of entries on this sheet Totals this sheet: 850 10 Date Name of Contributor Last, first) Address Amount Amount 08/08/08 Nelson, Marcia 400 Page 1 Schedule B Formulas 2008