HomeMy WebLinkAboutForm 410 - Jonathan Frieman for City Council D3 2022; terminationStatement of Organization
r—_
n ix /7 r,--
T! 0 E slunipV LF=
Recipient Committee
9111D
Statement Type Q Initial Amendment
Termination - See Pa
1 n 7�
2 -_`23
For Official Use Only
RL
0 Not yet qualified
or
0 Date qualification threshold met Date qualification threshold met
Date of termination
C
TY CLERM'S OFFICE
L
Committee Jnl c4m0
LD. Number
S Urer I and Other Principal Officers
(if applfrabtejN
ANIF Ci CONVVU; TF. E
NAME OF TREASURER
JONA THAN FRiEMANN CITY COUNCIL DISTRICT 3 2022
Jonathan F'rj.eman
STREET ADDRESS lNCI KO. BOX)
IRE` i ADDRESS (NO P.10 BOX)
CITY STATE
zip CODE AREA C-COE/PHONF,
'fiv
San Rafael CA
94901 (
-
I STATE Z'P C 1) 1, E AREA CODEPHON1
MAMEOF TR[,',SURER, IF ANY
—
No rwa. 1. k CA 90650 (
DAVID L. GOULD
FUL,',1AILING ADDRESS (IF DiFFERENTi
STREET ADDRESS jNO P0. BOX)
CITY STATE
DP ""ODE AREA CODE[PiiONE
Norwalk CA
90650 (
SDICTION WHERE :-OMMI-, TEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
Mari n San Ralael
Ingrid OrelLana-Assistant Treasurer
STREE'TAODRESS(NORC BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY 5 TA1 F.
ZIP CODE AREA CODE/PHONE
Norwalk CA 90650 (
3" "MMMM7
I have used all reasonable diligence in preparing this
ExeCLItC=d On
DATE
Executed on
By
BY
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE,OR STATE MEASURE PRoP6-ti--NT
SIGNATURE OF COP.'TiIO',Ltl)GOFFICEHOLDER, CANElDi.;FC,Gk STATE TIUSURE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
......... 4 --- — —,
Statement of Organization
'.Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
JONATHAN FRIEMAN FOR CITY COUNCIL DISTRICT 3 2022
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
California Bank & Trust
ADDRESS
AREA CODE/PHONE
(213)228-1700
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
550 S Hope St Ste 100 Los Angeles CA 90071
4. Type of'Comrnittee Complete the applicable sections.
I.D. NUMBER
2 of 3
1454338
• 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
Jonathan Frieman
City Council Member San Rafael District
3
2022
Nonpartisan
X
Partisan
(list political party below)
Nonpartisan
Partisan
(list political party 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)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
i OPPOSE
OPPOSE
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
Page 3 of 3
JONATHAN FRIEMAN FOR CITY COUNCIL DISTRICT 3 2022
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
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
�►7]iUl1�•r•At1/!•7.1(•l1RUitlii IY• f:Y.�
Date qualified
5.Termination Requirements By -signing the verification, the treasurer, assistant treasurer and/orcandidate, officeholder, orpro ponentcerfythat all ofth folio ing6onditions-have been met;
• 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 maybe 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 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov