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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) - • -y-.-AX..• . ..,..Y..:r. � �4 . � - � YILY4V�xidr_ra �v¢ ... - -