410 NELSON 24-0815 Int (State)_RedactedR
30 1473264
Statement of Organization L OMe Stamp
Recipient Committee DIGITALLY
Statement TypeRECEIVED AND
®Initial ❑ Amendment i] Termination—See Part6 FILED
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Not yet qualified in the office of th
or
Q Data qualification threshold over Date qualification dlreshok met Date of termination Secretary oforof et2a'f Stat
AUG 15 2024
Jesse Chip Nelson for Council 2024
San Juan Capistrano
CA 92675
Attach oddinonal information on appropriately labeled continuation sheets.
Jesse B. Nelson IF
IF ANY
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San Juan Capistrano CA 92675
cn.
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. 1 certify under
penalty of perjury under the laws of the State of California that the foregoing is true and correct.
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8-15-24B
Jesse Nelson
Executed on
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TIGNATURE oTREASURER ORA "" R
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Jesse Nelson
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DATE
SIGNATURE OF CONIROWN6 OFFICEHOLDED CANOI DATE, OR STATE MEASURE PRO PUN ENT
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By
DATE
NGNATURF Or CONTROL OPFIRHOEDER,CANDIDATE. OR STATE MEASURE PRO PARENT
Executed On
By
DATE
SIGNATURE OF CONiReuINe DFFOEHOLDEn' CAN o i DATE, EAsuxE YR STATEMPRODEDNENT
FPPC Form 418 (Ottofxr/2023)
FPPC Advice adviceralippac.cs.intv(866/215-3772)
wwwfno
Statement of Organization
Recipient Committee "
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
• 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(5) AUTHORIZED TO OBTAIN BANK RECORDS
AREA CODE/PHONE
BANK ACCOUNT NUMBER
ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE
Committee
• 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
Jesse Bryan Nelson Jr.
City Council District 1
20204
Nonpartisan
Partisan
V
flirt political party below)
Republican
Nonpartisan
Partisan
(list poliicalpany 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
SUPPORT I OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (October/2023)
FPPC Advice: advice0fooc.ca.eov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
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
Page 3
I.D. NUMBER
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
• 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: adviceCDfpoc.ca.eov (866/275-3772)
www.fppc.ca leoy