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HomeMy WebLinkAbout2024-02-12 Form 410 - NelsonK Statement of Organization 33 Recipient Committee L 1466917 Statement Type Lfl Initial ❑ Amendment ❑ Termination — See Part 5 Not yet qualified or ❑ Date qualification threshold met Date qualification threshold met Date of termination I.D. Number NAME OF COMMITTEE 2024 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 CITY OF PALM DESERT Attach additional information on appropriately labeled continuation sheets. NAME OF TREASURER STEPHEN NELSON Date Stamp DIGITALLY RECEIVED AND FILED in the office of the California Secretary of State FEB 08 2024 For Official Use I, F c '? I �.I , {= t l r R /iRLMS. STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE PALM DESERT CA 92211 EMAIL ADDRESS OF TREASURER (REQUIRED) AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY FRANK FIGUEROA STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE COACHELLA CA 92236 EMAILADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) STEPHEN NELSON STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE PALM DESERT CA 92211 EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE 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 foregoing is true and correct. 2/5/24 Stephen Nelson DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By -. DATE Executed on DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (October/2023) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA, Recipient Committee • - INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER 2024 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 I BANK ACCOUNT NUMBER MECHANICS BANK 1 760-346-0228 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. ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Nonpartisan Partisan (list political party below) STEPHEN NELSON CITY COUNCIL MEMBER 2024 Nonpartisan Partisan (list political party below) FormedFrimarily Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (October/2023) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA' i Recipient Committee • - INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D. NUMBER 2024 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: 0 CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY • • List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE Date qualified S.-Termination Requirements By s!g fr)gfthe•verification°; the treasurer ,aisis6nttreisurer'and/or candidate,.ofiiceholder, or°ponent certifythat all of the followiing coedit ons,have been met:i� _.gym < �.� _ �.__ ____w _ �� -_. • 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: advice@fppc.ca.gov (866/275-3772) www.fpoc.ca.gov Statement of Organization Recipient Committee f Statement Type m Initial ❑ Amendment m Not yet qualified or ❑ Date qualification threshold met Date qualification threshold met _ .. I.D. Number NAME OF COMMITTEE 2024 COMMITTEE TO ELECT STEPHEN NELSON FOR PALM DESERT CITY COUNCIL, DISTRICT 3 STREET ADDRESS (NO P.O. 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. Termination — See Part 5 Date of termination NAME OF TREASURER STEPHEN NELSON Date Stamp P . ?914.FES 12 AM 09137 STREET ADDRESS (NO P.O. BOX) CITY PALM DESERT EMAILADDRESS OF TREASURER (REQUIRED) I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information Executed on DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (October/2023) FPPC Advice: advice@fppc.ca.eov (866/275-3772) www.fPyc.ca.gov di Statement of Organization Recipient Committee NSTRUCTIONS ON REVERSE Page 2 -OMMITTEE NAME I.D. NUMBER 2024 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 1 760-346-0228 13505559215 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. ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE STEPHEN NELSON CITY COUNCIL MEMBER 2024 Nonpartisan Partisan (list political party below) ✓ Nonpartisan Partisan (list political party below) Primarily 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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE FPPC Form 410 (October/2023) • FPP,C Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization ~ Recipient Committee NSTRUCTIONS ON REVERSE Page 3 :OMMITTEE NAME I.D. NUMBER 2024 COMMITTEE TO ELECT STEPHEN NELSON FOR PALM DESERT CITY COUNCIL, DISTRICT 3 General• • Not formed to support or oppose specific candidates or measures in a single election. Check only one box: m CITY Committee ❑ COUNTY Committee ❑ STATE Committee ROVIDE BRIEF DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. JAMEOFSPONSOR ;TREETADDRESS NO. AND STREET CITY DUSTRY GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE AREA CODE/PHONE Small Contributor Committee Date qualified 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or ponent certify that all of the following conditions have been 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 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) •" i. FPPC Advice: adviceC@fRpc.ca.gov (866/275-3772) www.fppc.ca.gov*