HomeMy WebLinkAboutJan Marx - Form 460 - Semi-Annual AmendmentRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
Type or print in ink.
Statement covers period
from 02/14/2014
SEE INSTRUCTIONS ON REVERSE through 06/30/2014
1. Type of Recipient Committee: All committees - Complete Parr 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee ❑
Q State Candidate Election Committee
Q Recall
(Also Complete Fart 5)
❑ General Purpose Committee
0 Sponsored
Q Small Contributor Committee
Q Political Farty/Central Committee
3. Committee Information
4.
OMMITTEE NAME (OR CANDIDAT
Jan Marx for Mayor 2014
Ballot Measure Committee
Q Primarily Formed
Q Controlled
Q Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
STREET ADDRESS (NO P.O. BOX)
265 Albert Street
NAME OF TREASURER
CITY
STATE
ZIP CODE AREA CODE /PHONE
San Luis Obispo
CA
93405 805 - 541 -2716
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
PO Box 165
CITY
STATE
ZIP CODE AREA CODE /PHONE
San Luis Obispo
CA
93406
OPTIONAL: FAX ; E -MAIL ADDRESS
AREA CODE /PHONE
San Luis Obispo
Date Stamp
Date of election if applicable:
(Month, Day, Year) I kf APR 21 2015
11/04/2014 I IS-LO CITY
2. Type of Statement:
❑ Preelection Statement
® Semi - annual Statement
❑ Termination Statement
® Amendment (Explain below)
COVER PAGE
age _ 1 of
For Official Use Only
RK
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
Amendment to reporting period, previous statement was
04/01/2014- 06/30/2014; corrected to 02/14/2014- 06/30/2014
Treasurer(s)
NAME OF TREASURER
Gregory Ty Griffin
MAILING ADDRESS
PO Box 1882
CITY
STATE
ZIP CODE
AREA CODE /PHONE
San Luis Obispo
CA
93406
805 - 543 -2679
NAME OF ASSISTANT TREASURER, IF ANY
Jan Marx
MAILING ADDRESS
265 Albert Drive
CITY
STATE
ZIP CODE
AREA CODE /PHONE
San Luis Obispo
CA
93405
805 - 541 -2716
OPTIONAL: FAX I E -MAIL ADDRESS
Verification
I have used all reasonable diligence in preparing and reviewing this statement and t%thbest, of my knowledge the information contained herein and in the attached schedules is true and complete.
certify under penalty of perjury under the laws of the State of Califomia that the far true an rre
r
Executed an � eu I� By
Date Sin W a-- vasurerarAs -mlani Treasurer
-11 -
Executed m 1�-,
Date
Executed an
Date
By
By
Executed on BY FPPC Form 460 June101
Date SignaWre ofControlling Officeholder, Candidate, State Measure Pmponent ( )
FPPC Toll -Free Helpline: 8661ASK -FPPC
State of California