HomeMy WebLinkAboutForm 410 - Eli Hill for San Rafael City Council D2 2026Statement of Organization
Recipient Committee
Statement Type m Initial ❑ Amendment
Not yet qualified
or
m Date qualification threshold met Date qualification threshold met
12 / 11 / 25
LD. Number PENDING
NAME OF COMMITTEE
Eli Hill for San Rafael City Council D2 2026
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 I San Rafael
Attach additional information on appropriately labeled continuation sheets.
P
Termination — See PaI111 I nEr, 1 8 ,nnf,; JJLJ i For Official Use Only
Date of termination I ICI CLERK'S OFFI
NAME OF TREASURER
Eli Hill
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
Diego Aguilar-Canabal
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE
Berkeley
CA 94709
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
AREA CODE/PHONE
NAME OF PRINCIPAL OFFICERS)
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 perjuryunderthe laws of the State of California that the foregoing is true and correct.
Executed on j i ��� By
DATE q. m
CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE
Executed on
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (October/2023)
FPPC Advice: advice( fta a .sa. (866/275-3772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Eli Hill for San Rafael City Council D2 2026 PENDING
• 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
Mechanics Bank
ADDRESS OF FINANCIAL INSTITUTION
909 4th St
AREA CODE/PHONE BANK ACCOUNT NUMBER
415-460-6060 13505249990
CITY STATE ZIP CODE
• 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:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURES) 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 @fp pc,ca. av (866/275-3772)
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D. NUMBER
Eli Hill for San Rafael City Council D2 2026 PENDING
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
Eli Hill is campaigning for San Rafael City Council, D2 for the November 2026 election.
List additional sponsors on an attachment.
NAME OF SPONSOR
STREETADDRESS NO. AND STREET
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE AREA CODE/PHONE
�k Cf1nit€li eittL'Ci� �Y uer>€icalrat ireauerr ass'aimi rtdsi�r that l of fallag czt haue begk met.
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: aduice@fRpc.ca.gcv (866/275-3772)
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