HomeMy WebLinkAboutForm 410 - Kate Colin for City Council 2013w
Statement of Organization
Recipient CommitteeE:
Date Stamp
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Statement TypeSt
® Initial ❑ Amendment ❑ Termination -- See Part 5
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List I.D. number: List I.D. number:
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For Official Use Only
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04 29 2013j)EBRA
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NAME OF TREASURER
Friends of Kate Colin for San Rafael City Council 2013 Richard Kalish
STREET ADDRESS (NO P.O. BOX) STREET ADDRESS (NO P.O. BOX)
999 Fifth Avenue '
, Suite Ite 320
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE
San Rafael CA 94901 { San Rafael CA 94901
AREA CODE/PHONE
(
MAILING ADDRESS (IF DIFFERENT) NAME OF ASSISTANT TREASURER, IF ANY
P.O. Box 150817, San Rafael, CA 94915-0817
FAX / E-MAIL ADDRESS
STREET ADDRESS (NO P.O. BOX)
COUNTY OF DOMICILE
Marin
JURISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE ZIP CODE
San Rafael
AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS (NO P.O, BOX)
CITY STATE ZIP CODE
AREA CODE/PHONE
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I have used all reasonable diligence in preparingstatement and to the best of my knowledge the information contained herein is true p Y
and complete. 1 certify under
penalty of perjury under the laws of the State f C IfQrnia that t e fore is ue and correct.
04/30/2013
Executed on B
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DATE S4GNATURE OF TREASURER OR ASSISTANT TREASURER
Executed 04130/2013
on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed On BY
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING C=FFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Fora 410 (Dec/2012
FPPC Advice.- advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Friends of Kate Colin for San Rafael City Council 2013
* All committees must list the financial institution' where the campaign bank account is located.
NAIVIt Ul- I-INANUALINSFITUTION
Bank of Marin
ADDRESS
1101 Fourth Street
AREA CODE/PHONE
•
CITY
San Rafael
I MOWNA11 1 1111
STATE ZIP CODE
CA 94901
Page 2
I.D. NUMBER
Controlled 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 affiliate'd or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION
M T
San Rafael City Council
Primarily Farmed 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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
91 Nonpartisan
171 Nonpartisan
FPPC Form 410 (Dec/2012)
FPPC AdviAAmaft,
www.fppc.ca.gov