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HomeMy WebLinkAboutForm 410 - Gina Daly for Board of Education Trustee 2024; Amendment State 2DocuSign Envelope ID: 9l906lFl-DC78-45E8-Al2Q-9480EEBF8A92 Copy RECEIVED AND Fill PC in tI le u1i (e or t t gifoary of State Statement of Organization of the State of California Recipient Committee Statement Type El initial ® Amendment El Termination — See Part 5 JUL 26 20 23 0 Not yet qualified or 0 Date qualification threshold met Date qualification threshold met Date of termination.::.: 08 / 17 / 2022 s/ / $ I.D. Number 1. mynit�tee a formic on ,. r asurer and,Other P�rind6al t ffi+ce (if applicable) 1430031 NAME OF COMMITTEE Friends of Gina Daly for Board of Education Trustee Area 1 2024 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Oakland CA 94607 ( FULL MAILING ADDRESS (IF DIFFERENT) E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE r RISDICTION WHERE COMMITTEE IS ACTIVE Alameda San Rafael Attach additional information on appropriately labeled continuation sheets. NAME OF TREASURER Gina Daly STREET ADDRESS (NO P.O. BOX) CITY Oakland STATE CA ZIP CODE 94607 AREA CODE/PHONE ( NAME OF ASSISTANT TREASURER, IF ANY Stacy Owens STREET ADDRESS (NO P.O. BOX) CITY Oakland STATE CA ZIP CODE 94607 AREA CODE/PHONE ( NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 3. Verification I have used all reasonable diligence in preparing By 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 11TT3:n?.+.T.� DocuSign Envelope ID: 9l906lFl-DC78-45E8-A120-9480EEBF8A92 Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Friends of Gina Daly for Board of Education Trustee Area 1 2024 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION Bank of San Francisco ADDRESS AREA CODE/PHONE (415)744-6700 CITY BANK ACCOUNT NUMBER STATE ZIP CODE 345 California Street #1600 San Francisco CA 94104 4. Typ' e' ,of Commrriifkee t rnplete fhe apoilitable sections. .. I.D. NUMBER 2 of 3 1430031 • 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 Gina Daly Board of Education Trustee San Rafael District 1 2024 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 T OPPOSE PPOSE OPPOSE FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov DocuSign Envelope ID: 919061F1-DC78-45E8-A120-9480EEBF8A92 Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 of 3 COMMITTEE NAME Friends of Gina Daly for Board of Education Trustee Area 1 2024 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 SponsoredList 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 Small Contributor Committee I Date qualified S. Termini t on Reiquirerftent5 By signing the verification, the treasurer, assistanttreasurerand/ar candidate, officeholder; or proponent certify that all of the following conditions 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 may be 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