HomeMy WebLinkAboutForm 410 - Revitalize San Rafael Library and Community Centers - Yes on P; TerminationStatement of Organization
Recipient Committee
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Statement Type ❑ Initial ❑Amendment
®Termination — Se 5
Official Use Only
For O
Q Not yet qualified
AUG 19 �'0f5
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O Date qualification threshold met Date qualification threshold met
Date of terminate n
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12 31 2 324CITY
CLERK'S OFFICE
® I.D. Number 1467556
(if applicable)
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NAME OF COMMITTEE
NAME OF TREASURER
Revitalize San Rafael Libraries & Community Center, Yes on P Ad
Committees Top Funder San Rafael Public Library Foundation
Charles Stuckey
STREET ADDRESS (NO P.O. BOX) CITY
San Rafael
STATE ZIP CODE
CA 94901
EMAIL ADDRESS OF TREASURER (REQUIRED)
AREA CODE/PHONE
STREET ADDRESS (NO P.O. BOX)
NAME OF ASSISTANT TREASURER, IF ANY
Charles Litchfield
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901
STREET ADDRESS (NO P.O. BOX) CITY
San Rafael
STATE ZIP CODE
CA 94901
FULL MAILING ADDRESS (IF DIFFERENT)
San Rafael, CA 94912-2459
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
AREA CODE/PHONE
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
NAME OF PRINCIPAL OFFICER(S)
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
Maria
I Marin
STREET ADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE
Executed on 5/13/25 By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on 5/13/25 By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (October/2023)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 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
Bank of Marin - Charles Litchfield, Charles Stuckey
ADDRESS OF FINANCIAL INSTITUTION
1101 4th St.
AREA CODE/PHONE
415-485-2265
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.
BANK ACCOUNT NUMBER
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 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) 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: advice@fppc.ca,gov (866/275-3772)
www.fP0C.ca.g0v
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D. NUMBER
Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 11467556
General • .. 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
Use Property Tax Increase to Fund New Public Library and Community Center for San Rafael
• • 11 • 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
Small Contributor • ❑ /`
Date qualified
• This committee has ceased 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: advicePfppc.ea.eov (866/275-3772)
www.fppc.ca.gov