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HomeMy WebLinkAboutForm 410 - Faye Bourret for Board of Education 2022; Termination (State)S�1#� ��, �CA -e, ( n �c�Eudr�r MAY 1 6 2023 L CITY CLERK'S OFFICE RECEIVED AND FILED jn Statement of Organization D:1 ,,I n t eaa the Stte fa}alligmia Recipient Committee ' I_ Statement Type I' Initial © Amendment Termination—SeePartS AN 20 �° IU� ow'1Y Not yet qualified C' � � V— ❑ Date qualification threshold met Dale qualification threshold met Date of termination1. J r-•1 t• E I.D. Number .2. Treasurer and Other Principal Officers wPwl 7 / f NAME OF COMMIT IEE NAME OF TREASURER Faye Bourret for Board of Education -2022 Faye Bourret 5TRFET ADDRE5S (HO P.O. ROx) STREET ADDRESS (NO PM BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSOTAMT FRLASVN Lk N ANY San Rafael CA 94901 VyLL MA)UHG AODACS S LIF DI FF1 N ENS ) 51 Al tT x0OXF5100 XO. go" E-MAIL ADO RESS(REQUIRED) / FAN (OPTI DNA CITY STALE ZIP CODE AREA CODE/PHONE COUNTY OF DOMICILE IURISDICTI ON WHE RE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) Orange Marin STREET ADDR ESS (NO P.O. BOX) Attach additional information on appropriately labeled continuation sheets. CITY STATE SIP CODE AREA CODE/PHONE I have used all maWriable diligence in preparing this statement and tot the best of my knowledge the Informadan contained herein Is true and complete. I certify under penalty of perjury under the laws of the State of M Executed on oNTI By SIGNATURE OF CONT ROLUNG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Forth 410 (August/2018) FPPC Advice: adwc c{•� f pj ca.eov (866/275-37721 ww .fvpc.Ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE PW 2 COA14N'Trl NA4t IA• MUM1IBER Faye Bourret for Board of Education - 2022 All committees mast list the financial institution where the campaign hank account is located. NAIAE OF FINANCIAL INSTITUTIOR AREACODE/PHON( rRx[I{CCOVxT rIYMEIr California Bank 8t Trust 213-228-1700 { ADDRESS at, STATE a coo 550 S Hope St Suite 100 Los Angeles CA 90071 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 SOUGHTOR HELD YEAR OF PARTY NAME OF CAN D (DATE/OFFICEHOLDER/STATE MEASURE PROPONENT IINCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION [NFCA DNr Faye Bourret San Rafael Board of Education Trustee Area 4 2022 NonparJi— 11( Par— 111,4 r*%RW poria bele.,) Nonpam— PartlSan iYv P*LPcaI PPrl r kni—1 Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATEISI NAME OR MEASU REISI FUTITLE (INCLUDE BALLOT No. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURES) JLJRISDICTION I eRcrell ce 1 , LL Tnc T— n Fclrcunl n Fri-, x A M F IINCI UDF n ISTRICT NO- CITY OR COUNTY ASAPPLICABLE] [xF[EOxE FPPC Form 410 (August/2018) FPPCAdvice: ;tsfyj�pF c,51,Stzu (866/275-3772) www. -fp PC, cg gp.I SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPCAdvice: ;tsfyj�pF c,51,Stzu (866/275-3772) www. -fp PC, cg gp.I