HomeMy WebLinkAboutForm 410 - Natu Tuatagaloa for Board of Education 2018 AmendmentStatement of Organization
Recipient Committee
Statement Type 10 Initial
Not yet qualified
® Amendment 1 ❑ Termination —See
or
Date qualification threshold met Date qualification threshold met
(63q / 14 / 201$ 09 / 14 / 2018
1. Committee Information I.D. Number
(if applicable) 1410736
NAME OF COMMITTEE
Natu Tuatagaloa For Board of Education 2018
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901 (
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILEJURISDICTION WHERE COMMITTEE 15 ACIIVE
Marin City of San Rafael
Date of termination
Date Stamp
UVED AND FILED
office of the SEcrettlry of State
of the State of California
SEP 17 2018
2. Treasurer and Other Principal Officers
Judy W. Tuatagaloa
For Official Use Only
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
San Rafael CA 94901 (
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
Natu Tuatagaloa
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
Attach additional.information on appropriately labeled continuation sheets. San Rafael CA 94901 (
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 State of California that t e foregoing is true and correct.
Executed on 9/14/2018 By
GATE � /� SIGNATURE OF TR ER OR ASSISTANT TREASURER
Executed on 9/14/2018 By JU\
DATE SIGNATURE OF CONTRO FFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT
Executed an By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Natu Tuatagaloa For Board of Education 2018
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Bank of America
ADDRESS
CITY
STATE ZIP CODE
1000 4th Street San Rafael CA 94901
4. Type of Committee Complete the applicable sections.
Page 2
I.D. NUMBER
1410736
• 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
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
--AI I —A---rAI o, IN[anhITnr THF nmrrwnInFR'C N AM
CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO.. CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT
0
Nonpartisan
Partisan
(list political party below)
Natu Tuatagaloa
San Rafael Board of Education
2018
0
0
Nonpartisan
Partisan
(list political party below)
0❑
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
--AI I —A---rAI o, IN[anhITnr THF nmrrwnInFR'C N AM
CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO.. CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SUPPORT
0
OPPOSE
0
SUPPORT
0
OPPOSE
D.
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov