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HomeMy WebLinkAboutForm 410 - Maureen (Mo) de Nieva-Marsh (State)K Statement of Organization 21 Recipient Committee L 1471 Statement Type ® Initial ❑ Amendment 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 San Rafael Attach additional information on appropriately labeled continuation sheets. Date Stamp ❑ Termination — See Part 5 DIGITALLY RECEIVED AND PILED or r_ ia�s y in the office of the California Secretary of State JUL 14 2024 Date of termination - R' M NAME OF TREASURER Maureen Joy Gange de Nieva 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 OFFIC STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE EMAIL ADDRESS 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 that the foregoing is true and correct. Maureen de Nieva Digitally signed by Maureen de Nieva Executed on 7/14/2024 By Date: 2024.07.14 22:39:47 -07'00' DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER 7/14/2024 Maureen de Nieva Digit: ly 202 .07.14ned Maureen:40:05de Nleve Executed on By oace:zoza.o7.ia2z:ao:os-moo DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE 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: adviceOfpp (866/275-3772) ww .fpisc.ca.gov Statement of OrganizationCALIFORNIA ' Recipient Committee • " INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER MAUREEN DE NIEVA-MARSH FOR 2024 SRCS TRUSTEE AREA 3 99-2200616 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 Nonpartisan Partisan (list political party below) Maureen de Nieva-Marsh San Rafael City Schools Board, Trustee Area 3 2024 Nonpartisan Partisan (list political party below) Primarily Formed Committee, 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 IF A RECALL, STATE."RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (October/2023) FPPC Advice: adviceC fppc.ca.gov (866/275-3772) wwwjppc.ca. ov