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HomeMy WebLinkAboutForm 410 - Eli Hill for San Rafael City Council D2 2026 (State)Statement of Organization ' Date Stamp R ectplent Comrnittee Statement Type ® Initial ❑ Amendment ❑ Not yet qualified OF ® Date qualification threshold met Date qualification threshold met 2 ! 11 ! 25 I.D. Number PENDING (ff applicablel NAME OF COMMITTEE Eli Hill for San Rafael City Council D2 2026 STRFET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 FULL MAILING ADDRESS (IF DIFFERENT) E-MAILADDRESS OF COMMITTEE (REQUIRED)/ FAX (OPTIONAL) COUNTY OF DOMICILE JURISDICTION WHERE COMIMJTTEE IS ACTIVE Marie I San Rafael Attach additicoal information on appropriately labeled continuotion sheets. � q�PVC ANU F'II ❑ Termination — See Part b 0 Cip of the Sadrotary 01 of tho state of California Date of termination JAN 13 2020 NAM E OF TREASURER Eli Hill STREETADDRESS (NO P.O. BOX) CITY San Rafael EMAIL ADDRESS OF TREASURER (REQUIRED) NAME OF ASSISTANT TREASURER, IF ANY Diego Aguilar-Canabal STREET ADDRESS (NO P.O. BOX) CITY Berkeley EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) NAME OF PRINCIPALOFFICER(S) STREET ADDRESS (NO P.O. EMAILADDRESS OF PRINCIPALOFFI For Official Use Or y f CLERK'S 0UN- STATE ZIP CODE CA 94901 AREA CODE/PHONE STATE ZLP CODE CA 94709 AREA CODE/PHONE STATE ZIP CODE 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 fore Ding is true aiD .orrect. } Executed On By UATE r� CANDIDATE,CR STATE MEASURE PROPONENT Executed On By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE 51GNATU RE OF CONTROLLING OFF ICER OLDE R, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (October/2023) FPPC Advice; advice _f tc,ra,Lzay (866/275-3772) . ,j�„�tytd-,r>�Dpf,.ca.Z'0—V Statement of Organization C I ALIFORNIA Recipient Committee .. r „ 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)AUTHORIZEDTOOBTAINBANK RECORDS AREACODEJPHONE BANKACCOUNT NUMBER Mechanics Bank 415-460-6060 ADDRESS OF FINANCIAL INSIII"UTION CITY STATE ZIPCODE 909 4th St San Rafael CA 94901 , J • 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 Oft HELD YEAR OF PARTY NAME OF CAN DIDATE/OFFICEHOLDER/STATF MEASURE PROPON ENT (INCLUDE DISTRICT N UMBER IF APPLICABLE) ELECTION rHFcxnNF Eli Hill San Rafael City Council, District 2 2026 Nonpartisan Partisan (list Political party below) N/A Nonpartisan Partisan (list political party below) Pri-adlyFormed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDMATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO, OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR NIEASURE(S) JURISDICTION irA RECALL, STATE -RECALL ,rvrnC)Ni OFriEC)FFjCEH0LuEW">NAMt,iiNCLUDEDI5TRICTNO.,CIIYDR000NCYA5APPLICABLL} —,.... CHECK ONE SUPPORT OPP05E SUPPORT OPPOSE FPPC Form 410 (October/2023) FPPC Advice: advice f1Jpc,carou (866/275-3772) >gtww.fgt�cca,,gou