HomeMy WebLinkAboutForm 410 - Revitalize San Rafael Libraries and Community Center Ad Committee's Top Funder San Rafael Public Library Foundation; Amendment• s
Statement Type ® Initial ® Amendment
O Not yet qualified
or
® Date qualification threshold met Date qualification threshold met
I.D. Number 1467556
JAME OF COMMITTEE
Revitalize San Rafael Libraries & Community Center -YES ON P
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAILADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Marin I San Rafael
Attach additional information on appropriately labeled continuation sheets.
'< 2024
Date of
NAME OF TREASURER
Charles Stuckey
STREET ADDRESS (NO P.O. BOX)
EMAIL ADDRESS OF TREASURER (REQUIRED)
NAME OF ASSISTANT TREASURER, IF ANY
Charles Litchfield
STREET ADDRESS (NO P.O. BOX)
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
NAME OF PRINCIPAL OFFICER(S)
Gary Ragghianti
STREET ADDRESS (NO P.O. BOX)
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED)
CITY
San Rafael
CITY
San Rafael
CITY
San Rafael
For Official Use Only
STATE ZIP CODE
CA 94901
AREA CODE/PHONE
STATE ZIP CODE
CA 94901
AREA CODE/PHONE
STATE ZIP CODE
CA 94901
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 perjur under the laws of
CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
GATE 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: advicePfppc,ca.gov (866/275-3772)
evWW.foDc'ca.gov
Statement of Organization CALIF
Recipient Committee FC
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Revitalize San Rafael Libraries & Community Center- YES ON P 1467556
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
Sank Of Marin 4154852265
Charles Stuckey, Charles Litchfield
ADDRESS OF FINANCIAL INSTITUTION
1101 Fourth Street
CITY
San Rafael
• 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.
STATE ZIP CODE
CA 94901
• 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
Nonpartisan Partisan (list political party below)
Nonpartisan Partisan (list political parry below)
• . 9 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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
it A —rAi i CTATP Ppraj i., m FRnNT nF THE nrr1r'FHnI nFR'S NAME (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
Revitalize San Rafael Libraries & Community Center- Measure P
Marin County, Jan Rafael
SUPPORT
1(
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (October/2023)
FPPC Advice: advicet'"s« fgoc.ca.gov (866/275-3772)
v6 Ww fPPc.ca.gssv
Statement of Organization CALIF
Recipient• FG
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D. NUMBER
Revitalize San Rafael Libraries & Community Center- YES ON P 1467556
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
❑ t /.
Date qualified
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ceasedThis committee has 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 (October/2023)
FPPC Advice: advice(Pfpyc.ca.gov (866/275-3772)
wWWJPPc.ca.R0V