HomeMy WebLinkAbout2024-04-02 Form 410 - NelsonStatement of Organization
Recipient Committee
Statement Type ❑ Initial ® Amendment
O Not yet qualified
or
O Date quali n threshold met I Date qualification threshold met
1_ t 24
001911119i.D. Number
NAME OF COMMITTEE
2024 COMMITTEE TO ELECT STEPHEN NELSON FOR PALM
DESERT CITY COUNCIL, DISTRICT 3
CITY STATE ZIP CODE AREA CODE/PHONE
PALM DESERT CA 92211
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
eit f CLERK'S DfF
P A I H DESEP T C
Termination — See Part 5
2024 APR -2 AM 10: 211
Date of termination
NAME OF TREASURER
STEPHEN NELSON
For ORidal Use Only
STREET ADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE
PALM DESERT
CA 92211
EMAIL ADDRESS OF TREASURER IREQU1RED)
AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
FRANK FIGUEROA
STREET ADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE
COACHELLA
CA 92236
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STEPHEN NELSON
RIVERSIDE CITY OF PALM DESERT STREET ADDRESS INO P.O. BOX) CITY STATE ZIP CODE
PALM DESERT CA 92211
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheers.
3. 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
DATE
OF CONTROLLING OFFICEHOLDER.
Executed on BY
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed On By
DATE SIGNATURE OF CONTROLLING OFFICENOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 420 (October/2M)
FPPC Advlee: MM&S one ea.rrov (sse/ns-sm)
Statement of Organization CALIFORNIA
Recipient Committee FORM t
10
INSTRUCTIONS ON REVERSE
Pap 2
COMMITTEE NAME I.D. NUMBER
2024 COMMITTEE TO ELECT STEPHEN NELSON FOR PALM DESERT CITY COUNCIL, DISTRICT 3 1466917
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 PERSONS) AUTHORIZED TO OBTAIN BANK RECORDS AREA CODE/PHONE BANK ACCOUNT NUMBER
MECHANICS BANK 1 760-346-0228
ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIPCODE
73-611 HWY 111 PALM DESERT CA 92260
• 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 parry 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
Nan
Partisan
(list pollikai party below)
STEPHEN NELSON
CITY COUNCIL MEMBER
2024
it
Non
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 MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURES) 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
FPK Form 420 (October/2023)
FPK Advice: advice0faimca.acv (866/27S-3772)
www.fcuc.ca.lrov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Pap 3
2024 COMMITTEE TO ELECT STEPHEN NELSON FOR PALM DESERT CITY COUNCIL, DISTRICT 3 1 1466917
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
• 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 CODF4"ONE
S. 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 18522.5.
FPPC Form 410 (October/2073)
FPPC Advice: c (866/275-3772)
WwWfencica.l:ov
Statement of Organization
Recipient Committee -
Statement TyRe ❑ Initial
O Not yet qualified
or
O Date qualification
® Amendment
met Date qualification threshold
3 , 26 f 24
❑ Termination — See Part 5
NAME OF COMMITTEE
2024 COMMITTEE TO ELECT STEPHEN NELSON FOR PALM
DESERT CITY COUNCIL, DISTRICT 3
STREET ADDRESS (NO P.O. BOX)
35422 CORE DR
CITY STATE ZIP CODE AREA CODE/PHONE
PALM DESERT CA 92211 310-500-0150
FULL MAILING ADDRESS (IF DIFFERENT)
77932 COUNTRY CLUB DR, SUITE 2-2#160, PALM DESERT, CA 92211
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
STEPHEN@ NELSON FOR PALMDES ERT.COM
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
RIVERSIDE CITY OF PALM DESERT
Attach additional information on appropriately labeled continuation sheets.
1 have used all reasonable diligence in preparing t
penalty of perjury under the laws of the State of
Executed on 4/2/24 By
E � l
Executed on BY
DATE
Date of termination
NAME OF TREASURER
STEPHEN NELSON
Date Stamp
CF-WED AND FI
e Oke of the S"Mjary o
of the State of Celltoml
APR 0 a 2024
For Official Use Only }
STRE ET ADDRESS I NO P.O. BOX)
_ ITY
35422 CORE DR
PALM DESERT
EMAIL ADDRFSS OF TREASURER (REQU'RE D)
STEPHEN@ NELSONFORPALMDESERT.COM
NAME OF ASSISTANT TREASURER, IFANY
FRANK FIGUEROA
STREET ADDRESS (NO P.O. BOX)
CITY
53275 CALLE BONITA
COACHELLA
EMAIL ADDRESS OF ASSISTANT TREASURER IREQUIRED)
ffigueroa6li@gmall.com
NAME OF PRINCIPALOFFICER(S)
STEPHEN NELSON
STREET ADDRESS (NO P.O. BOX)
CITY
35422 CORE DR
PALM DESERT
EMAIL ADDRESS OF PRINCIPAL OFFICERS) (REQUIRED;
STEPHEN@ NELSONFORPALMDESERT.COM
STATE ZIP CODE
CA 92211
AREA COW&HONE
3105000150.-
STATE ZIP CODE
CA 92236
AREA CODE/PHONE
760-899-6087
STATE ?IPcor-F
CA 92211
AREA CODE/PHONE
310-500-0150
an6 the best of my knowledge the information contained herein is true and complete. I certify under
t kmoing is true and correct.
OF TREASURER OR ASSISTANT TREASURER
SIGNATURE OF CONTROLL NG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
Dp F
By
SIGNATL, RE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 430 (October/2023)
FPPC Advice: advice@fnnc.ca.¢ov (866/275-3772)
I ' 4F www.fooc.ca eov
Statement of Organization CALIFORNIA
Recipient Committee FORM 410
r
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
2024 COMMITTEE TO ELECT STEPHEN NELSON FOR PALM DESERT CITY COUNCIL, DISTRICT 3 1466917
All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records.
NAM- OF FINANCIAL INSTITUTION AND PERSON(SM 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
73-611 HWY 111 PALM DESERT CA 92260
• 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)
'
Nnnp;-roSa'
Partisan
o. v�•r ..�..,..r
FormedPrimarily Committee 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
F A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME
CANDIDATE(S) OFFIZZE SOUGHT OR HFLD OR MEASURE(S) JURISDICTION
f1 NCLUDE DISTRICT NO., CITY OR COUNTY. AS APPLICAB-FM
rwcrr nmr
SUPPORT OPPOSE
A P'OF.I OP PO91
FPPC Form 410 (October/I023)
• FPPC p�c.ca.¢ wce: ace ov - __
• Statement of Organization n
Recipient Committee
INSTRUCTIONSON REVERSE
OMMITTEE NAME
2024 COMMITTEE TO ELECT STEPHEN NELSON FOR PALM DESERT CITY COUNCIL, DISTRICT 3
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 OFACTIVITY
• • list additional sponsors on an attachment.
NAME OF SPONSOR
STREETADDRESS NO. AND STREE]
❑ �.1 t
C-ITY
GROUP OR AFFILIATION OF SPONSOR
CALIFORNIA
FORM 410
Page 3
I.D. NUMBER
1466917 ,
STATE ZIPCDCE AREA CODE/PHONE
' S.Termin- ation Requirements ev;;+gninI& one „eri�Gat;on, the treasurer, assistanttreasurerand/or candidatefof�Ei-ceholder, or ppnent certifythat all of the following conditions haveThis been met:
committee• receive contributions. 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-gbv_(866/275-3772)
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