HomeMy WebLinkAboutForm 410 - Maureen (Mo) de Nieva-MarshStatement of Organization
Recipient Committee
Statement Type ® Initial ❑ Amendment
QD Not yet qualified
or
Q Date qualification threshold met Date qualification threshold met
.... , .. .. ... I.D. Number
NAME OF COMMITTEE
MAUREEN DE NIEVA-MARSH FOR 2024
SRCS TRUSTEE AREA 3
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Marin I San Rafael
❑ Termination — See Pad 5
Date Stamp
AUG-►2024
ITY CLK ER`S OFFIC
Date of termination
NAME OF TREASURER
Maureen Joy Gange de Nieva
For Official Use Only
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
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE
Attach additional information on appropriately labeled continuation sheets. EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE
3. Verification
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.
7/14/2024 Maureen de Nieva Digitally signed by Maureen de Nieva
Executed on By Date: 2024.07.1422:39:47-07'00'
DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER
7/14/2024 Maureen de Nieva Digitally signed by Maureen de Nieva
Executed on By Date: 2024.07.14 22:40.05 -07'00'
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
Executed on
DATE
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (October/2023)
FPPC Advice: advice WDPc.ca.sov (866/275-3772)
WWw.fppc.ca.goy
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page Z
COMMITTEE NAME I.D. NUMBER
MAUREEN DE NIEVA-MARSH FOR 2024 SRCS TRUSTEE AREA 3 199-2200616
• All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records.
NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS AREA CODE/PHONE BANK ACCOUNT NUMBER
Redwood Credit Union
1 (800) 479-7928
ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE
1010 Grant Avenue Novato CA 94945
• 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
Maureen de Nieva-Marsh
San Rafael City Schools Board, Trustee Area 3
2024
Nonpartisan
Partisan
(list political party below)
If
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) FULLTITLE (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
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (October/2023)
FPPC Advice: adviceWppc.ca.gov (866/275-3772)
www.foac.ca.eov