HomeMy WebLinkAboutForm 410 - Randy Warren for City Council 2013 (2013-09-26) TerminationSA
tatement of Organization
Recipient Committee
Statement Type 0 Initial
Not yet qualified [] or
F1 Amendmem
List I.D. number:
M
08 06 2013,
Date qualified as committee Date qualified as committee
(if applicable)
0 Termination -See Part 5
List J.D. number:
#1359636
12 25 2013
Date of Termination
I I T STATE ZIP CODE
AREA CODE/PHONE
SAN RAFAEL CA 94903 (
MAILING ADDRESS (IF DIFFERENT)
FAX / E-MAIL ADDRESS
INFO@RANDYWARRENFORCITYCOUNCIL.COM
UP112,11 IT 01191711CILL JURISDICTION WHERE COMMITTEE IS ACTIV—E 7"Tn!n
MARIN ,SAN RAFAEL, MARIN, CA
Attach additional information on appropriately labeled continuation sheets,
STREET ADDRESS (No P.O, BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
CITY
STATE ZIP CODE AREA CODE/PHONE
. . ......
I have used all reasonable diligence' in preparing this statement and to the bg!st of my knowledRe the information '
penaltyI S contained herein is true and complete. I certify under
go
of perjury under the laws of the State of California that the fore I i true an c re t.
9
Executed on 12/28/2013
. Bv
DATE
Executed on 12/28/2013
RIM
W
SIGNATURE OYA'5ASURER OR ASSISTANT TREASURER
:16NAIURE O'CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on DATE By
By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Dec/2012)
FPPC Advice.- advicePfppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Sbtement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
N
Aftiv, I kh I Iona 210 FAM, I
RANDY WARREN FOR CITY COUNCIL 2013
* All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
CITIBANK
AREA CODE/PHONE BAN - K ACCOUNT NUMBER
( 1205340060
List the political party with which each officeholder or candidate is affiliated 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
- 11 (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION
I
CITY COUNCIL, CITY OF SAN RAFAEL
Primarily Formed ComrrtitfeePrimarily formed to support or oppose specific candidates or measures in a single election. List beloi
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)
PARTY
21 Nonpartisan
WIN
FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
wwW.fppc.ca.gov
Shatement of Organizatior.
Recipient Commiftee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
RANDY WARREN FOR CITY COUNCIL 2013
x- 7 7-77
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check onlone box:
El CITY Committee y
COUNTY Committee n STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
=MMM19
List additional sponsors on an attachment.
Sponsored Committee
NAME OF SPONSOR
STREET ADDRESS NO. AND STRFFT
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
Ll I Y
STATE ZIP CODE
Small Contributor Committee
Date qualified
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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
subject to Elections Code Section 18680 and FPPC Regulation 18521.5." - 89518, and are
FPPC Form 410 (Dec/2012)
FPPC Advice: adv1ce@i)fppc.ca.gov (866/275-3772)
www.fppc.ca.gov