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HomeMy WebLinkAboutForm 410 - Robert Sandoval for City Council 2026; State9 Statement of Organization 21 Recipient Committee L Statement Type ®Initial [ Not yet qualified 00 Of Date qualification threshold met D, lea NAME OF COMMITTEE Robert Sandoval for San Rafael City Council 2026 NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. EMAILADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE R(S) (REQUIRED) AREA 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. olgii signed by Linda cieslak Sandoval Executed on 4/1/2025 By Linda Cies ak Sandoval Data 2025N ouMIT s25 -moo DATE SIGNATURE OF TREASURER DR ASSISTANT TRPASU RE 4/1/24/1/2025Robert Sandoval 0250 daily signed by Robed Sandoval Executed on By Date: 2025 Atm 19:105220700 DATE 51 GNATtI RE OF CONTROLLING OF FICEHO EDER, CANDIDATE, OR STATE MFASU RE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDAI E, ON CIA MEASURE PROPONENT Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (October/2023) FPPC Advice: advice f pc.ca.aov (866/275-3772) www_fWL a.gov Statement of Organization CALIFORNIA' Recipient Committee • - INSTRUCTIONS ON REVERSE Paget COMMITTEE NAME I.D. NUMBER Robert Sandoval for San Rafael City Council 2026 • 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 Bank of Marin ADDRESS OF FINANCIAL INSTITUTION 1101 Fourth Street AREA CODE/PHONE 415/485-2276 CITY San Rafael BANK ACCOUNT NUMBER STATE ZIP CODE CA 91901 • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder cone -Algid, 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 CAN MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Robert Sandoval Councilmember, San Rafael City Council, Dis. 3 2026 Nonpartisan Partisan (list political party below) Nonpartisan Partisan (list political party below) Primarily Formed Committee I Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE($) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR FIELD 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 PPPC Form 410 (October/2023) FPPC Advice: advicei?fppc_ca_gov.(866/275-3772) www.fppc, ca�eov