HomeMy WebLinkAboutForm 410 - Kate Colin for San Rafael Mayor 2024; Amendment (11-16-23) StateStatement of Organization
Recipient Committee
Statement Type E] Initial
® Not yet qualified
or
0 Date qualification threshold met
0 Amendment El Termination — See Part 5
Date qualification threshold met Date of termination
01 11 2023
Date Stamp
DIGITALLY
RECEIVED AND FILED
in the office of the California
Secretary of State
November 28, 2023
3
UG ill IF=
DEC 1 9 2023
1
JEl,-Number
iif applicable)
1457593
Rut
NAME OF COMMITTEE
NAME OF TREASURER
Kate Colin
Kate Colin for San Rafael Mayor 2024
STREET
STREET ADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE
Oak' -and
CA 94607
EMAIL ADDRESS OF TREASURER (REQUIRED)
AREA CODE/PHONE
STREET ADDRESS (NO P.O. BOX)
(
NAME OF ASSISTANT TREASURER, IF ANY
CITY STATE
ZIP CODE AREA CODE/Pi Stacy Owens
Oakland CA
94607 ( STREET ADDRESS (NO RO. BOX) CITY
STATE ZIP CODE
FULL MAILING ADDRESS (IF DIFFERENT)
Oakland
CIA 94607
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
AREA CODE/PHONE
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) I FAX (OPTIONAL) - I
(
NAME OF PRINCIPAL OFFICER(S)
COUNTY OF DOMICILE JURISDICTION WHERE, COMMITTEE IS ACTIVE
Alameda County San Rafael
STREET ADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED)
AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
Will
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California
that the foregoing is true and correct.
Executed 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
FPPC Form 410 (October/2023)
FPPC Advice: adviceiTf2i2c.ca.gay (866/275-3772)
www.fppc.ca.gov
neffile.com
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Statement of Organization
Recipient Committee
INSTRUCTIONS owREVERSE
COMMITTEE NAME
Kate Colin for San Rafael Mayor 2024
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
[I Cl —1 Committee El COUNTY Committee 0 STATE Committee
PROVIDE BRIEF DESCRIPTION mACTIVITY
Page 3 of 3
I.D. NUMBER
1457593
List additional sponsors on an attachment. �
NAME OF SPONSOR INDUSTRY GROUP OR AFPIIIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY S TAT E 71P CODE AREA CODE/PHONE
F1
Date quafified
~ This committee has ceased toreceive contributions and make expenditures;
^ This committee does not anticipate receiving contributions or making expenditures in the future;
` This committee has eliminated o,has nointention orability todischarge all debts, loans received, and other ohHQntinns
~ This committee has nosurplus 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 895I9.
-- 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 Clocle Section 18680 and FPPC Regulation 18521.5.
FPPC Form «10 (October/2023)