HomeMy WebLinkAboutForm 410 - Samantha Ramirez for Board of Education Trustee 2020; TerminationStatement of Organization
Recipient Committee
Statement Type ❑ Initial ❑ Amendment
Q Not yet qualified
or
Q Date qualification threshold met Date qualification threshold met
si�I.D. Number 1430980
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amirez for San Rafael City Schools
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
FULL MAILING ADDRESS (IF DIFFERENT)
San Rafael, CA 94901
E-MAIL ADDRESS OF COMMITTEE (REQUIRED)/ FAX (OPTIONAL)
WHERE COMMITTEE IS ACTIVE
Marin County
Attach additional information on appropriately labeled continuation sheets.
D LS L-- IS gJte WmnL CALIFORNIA
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® Termination — S rJ For Official Use Only
Date oftermina ion CI CLERK'S OFFICE
9/ 0--t
NAME OF TREASURER
Samantha Ramirez
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE
San Rafael CA 94901
EMAIL ADDRESS OF TREASURER (REQUIRED) AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE
EMAILADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE
NAME OF PRINCI PAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE
EMAILADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE
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
MEASURE PROPONENT
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: advice@faac.ca.sov (866/275-3772)
www.fooc.ca.eov