HomeMy WebLinkAboutForm 410 - Revitalize San Rafael Library and Community Centers - Yes on P; Termination (State)Statement of Organization
Recipient Committee
Statement Type ❑ Initial ❑ Amendment
Q Not yet qualified
or
Q Date qualification threshold met Date qualification threshold met
I.D. Number 1467556
(fopplicable)
NAME OF COMMITTEE
Revitalize San Rafael Libraries & Community Center, Yes on P Ad
Committees Top Funder San Rafael Public Library Foundation
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
San Rafael CA 94901
FULL MAILING ADDRESS (IF DIFFERENT)
San Rafael, CA 94912-2459
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE
-Maria I Marin
2I
Date Stamp
® Termination —See PAIT offito of the Scree FILL" 1� C ` ffi` se nl
of the State of California
Date of termination AU6 18 2025 i t P _ 4 P025
12 / 31 / 2024
NAME OF TREASURER
Charles Stuckey
STREET ADDRE5S (NO P.O. BOX) CITY
STATE ZIP CODE
109 Rafael
CA 94901
EMAIL ADDRESS OF TREASURER (REQUIRED)
AREA CODE/PHONE
chucicstuckey@hotmail.
OF ASSISTANT TREASURER, IF ANY
Charles Litchfield
STREET ADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE
828 Rafael
CA 94901
EMAILADDRESS OF ASSISTANT TREASURER (REQUIRED)
AREA CODE/PHONE
Charlit@gmail.
OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE
Attach odditional information on appropriately labeled continuation sheets,
s
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the inform tion ntained herein is true and complete. I certify under
penalty of perjury Linder the laws of the State of California that the foregoing is
on 5l I3/25 By
DATE SIGNATURE OF CONTROLLING OFFICFHOLD ER, CANDIDATE, 0R STATE MEASURE PROPONENT FPPC Forth 410 {October/2023}
FPPC Advice: advice _(866/275 3772)
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Statement of Organization CALIFORNIA
Recipient Committee F s ; TkiT 411
INSTRUCTIONS ON REVERSE
Page 2
COIJ�MITTEE NAME LD. NUMBER
Revitalize San Rafael Libraries 3r 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 CF FINANCIAL INSTITUTION AND PFRSON(S) AUTHORIZED TO OBTAIN BANK RECORDS AREA CODE/PHONE BANKACCOUNT NUMBER
Bank of .Iblarin - Charles Litchfield, Charles Stuckey 415-485-2265
ADDRESS OF FINANCIAL INSTITUTION CITY
STATE ZIP CODE
1.1014th St. San Rafael CA 94901
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 CAN 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:
CANOIDATE(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: advice t��i fppc.ca.grsv (855/27S-3772)
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Statement of Organization CALIFORNIA
Reoipient Committee FORM 4
10
INSTRUCTIONS ON REVERSE
Page 3
CONAPPITIEE NAME I.P. NUMBER
Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 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
Use Property Tax Increase to Fund New Public Library and Community Center for San Rafael
• %• 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
;: B : � n� t Q vert ah il,e;t a "U �r a 'start reasurer::and � s� til¢ate {s#'h[eitolder or alien# cerhfVikhat aif of, thB faltowi�g sondafiotts hay�b�elt
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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: advice! a-I:_ca.gav (866/275-3772)
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