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HomeMy WebLinkAbout2024-01-18 Form 410 - NelsonStatement of Organization Recipient Committee Statement Type ® Initial ❑ Amendment fa Not yet qualified or O Date qualification threshold met Date qualification threshold met _ _ I.D. Number NAME OF COMMITTEE COMMITTEE TO ELECT STEPHEN NELSON FOR PALM DESERT CITY COUNCIL, DISTRICT 3 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE PALM DESERT CA 92211 FULL MAILING ADDRESS (IF DIFFERENT) E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE RIVERSIDE I CITY OF PALM DESERT Attach additional information on appropriately labeled continuation sheets. I have used all reasonable diligence in preparing this MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (October/2023) FPPC Advice: advice(@fppc.ca.eov (866/275-3772) www.foac.ca.gov Statement of Organization CALIFORNIA' Recipient Committee • ; iT INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER COMMITTEE TO ELECT STEPHEN NELSON FOR PALM DESERT CITY COUNCIL, DISTRICT 3 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 .MECHANICS BANK 17603460228 ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE 41990 Cook St Building H, Suite 701 PALM DESERT CA, 92211 • 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. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHFCKONF STEPHEN NELSON CITY COUNCIL MEMBER 2024 Nonpartisan Partisan (list political party below) ✓ Nonpartisan Partisan (list political party below) IPrimarily 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 (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (October/2023) FPPC Advice: advice0fPPc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization - Recipient Committee • INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D. NUMBER COMMITTEE TO ELECT STEPHEN NELSON FOR PALM DESERT CITY COUNCIL, DISTRICT 3 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 Sponsored Committee List additional sponsors on an attachment... NAME OF SPONSOR STREET ADDRESS NO. AND STREET Small Contributor Committee 0 Date qualified CITY INDUSTRY GROUP OR AFFILIATION OF SPONSOR 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/2023) FPPC Advice: advicet@fppc.ca.gov (866/275-3772) www.fppc.ca.gov