HomeMy WebLinkAboutForm 410 - Police Association PAC Amend 02-11-26 (State)MISIM-11411iff-1190M
Statement rype ❑ Initial ® Amendment
0 Not yet qualified
or
Q Date qualification threshold met Date qualification threshold met
01 / 1 1983
I.D. Number
NAME OF COMMIT IEE
San Rafae,] Pnl..i.ce Association_ Political Action Committee
STREFT AODRE.SS (NO P.O. BOX!
1' 2(it -'tlifth Avenue
C''.FY STATE
Sari R.a.fael CA
F IJLL MATING ADDRESS (IF DIFFERENT) -+
P.O- Box 151L557 San Rafael, CA 94915-1557
F.-MAI -ADDRESS OF COMMITTEE NREQUiRED) / FAX (OPTIONAL)
i.J.ing_3:�:)se:cwenscccnpany.::om
ZIP CODE AREA CODE/PHONE
94901 (415)485-3000
C[;WP OF DOMICILE JURISDICTION WHERE COMMITT
Mari.n C,)-arty; CA City of San Rafael
Attach additional information on appropriately labeled continuation sheets.
Date Stamp
Termination — See Part 5 DIGITALLY
i For Off cial Use Only
RECEIVED AND FILED
!
in the office of the Ca11fomla
Secretary of State
2r` A
i
_ IL ! f
Date of termination FED 11 2026
j
/ r
11 f
ICE
. r
NAME OF TREASURER
Beth Minka
S1'REE'IADDRESS (NO PO. BOX) CITY
STATE ZIP CODE
1520 Fifth Avenue San Rafael
CA 94901
EMAILADDRESS OF TREASURER (REQUIRED)
filings@seowenscompany.com
AREA CODEIPHONE
(415)4B5-3000
NAME OF ASSISTANT TREASURER, If ANY
Stacy F. Owens
STREET ADDRESS (NO P.O. BOX) CITY
312 Clay Street, Suite 300 Oakland
STATE ZIP CODE
CA 94607
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
filings@seowenscompany.com
AREA CODE/PHONE
(510)423-4300
NAME OF PRINCIPAL OFFtCER(S)
`I'rever Carney, Vice President
STREET ADDRESS (NO P.O. BOX) CITY
1520 Fifth Avenue San Rafael
STATE LIP CODE
CA 94901
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED)
AREA CODE/PI IONE
filings@seowenscompany.com
(415)465-3000
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. Beth n1:4"—W
,' AoUf MM'w
Dot :zoaanz.tt
02111/ 2025 Minka ,.t:ta3rna'oa
Ex��cuied an By
DATE S IGNATURE O F TREASURER OR ASSISTANT TREASU RE R
LXP.GUte-d on _ _ _ By
DATE W 5IGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Ex:acuted or
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
F.xecUtE d On By
DATE SIGNATURE OF CO NTR.OLLING OFFICE HOLDEN, CANDIDATE, OR STATE MEASURE PRO?ONENT
FPPC Farm 410 (dctober/2023)
FPPC Advice: advicel@fppc.ca.aov (866/275.3772)
www,fppc.ca.gov
natfilS.G43m
Statement of Organization
Recipient Committee
INS. -RUCTIONS ON REVERSE
X)MMM . LE NA.ML
-n Rafael. Police Association; Political Action Committee
7, F,, -r POSITION
President Principal Officer
(7 P.J. BOX) CITY STATEZIPCODE
1520 Fifth Avenue San Rafael CA 94901
E-'vLAJL ADDRESS AREACODE;PHON=
fi Coll {415)485-3000
Page 2 of 4
831553
FPPC Form 410 (October/2023)
FPPC Advice: adv1c9@fppc.oa,gov (8661275-3772)
www.fppo,ca.gov
Statement of Organization
Recipient Committee
tVf!IL C-IONS U^t I+LVE14SE
DIAt,lfI iI I, NAMF
Satz Fa 1 r, .ic:a AG ;uu-' aCion 1191itical Actdcn Co(nmittee
Pace 3 o, =
I.D. NUPAi3ER
83:SS3
All committees must list the financial institution where the campaign bank account Is located and the person(s) authorized to obtain bank records.
PrIF OF r"NA.WIAL INSTITUTJON AND'ERSOMS) AUTHORIZED TO OBTAIN BANK RECORDS AREA CODE/RHONE BANK ACCOUNT WPABEF
US, a,a'r), ttj�5)?4LS--0245
?-act. hfinke
kOD(tcSS CT FINANCIAL;NST!TUTICN CITY STATE 71P CODE
San Ltafael CA 34a01
• Llst the narne 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 Cie political patty with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference" is acceptable.
• if this cornmit;ee acrs jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE orrlCE SCVG--IT OR IiELD YEAR O� PARTY
NAME ;'Y CAhl IJIDAi EtOF'FICFII6Lvl;ft,/ST.+.TF. EAEASURE PROPONENT (INCLUDE DISTRICT NUMUER IF APPLICABLE) ELECTION CHECK ONE
Nonpaft6an Fattisan (.ist polltica pw:y below.)
..,... Nonpartisan Partisan ('.ist polittcat par.y below)
• Primarily formed to support or oppose specific candidates or measures in a single election. List below:
G.NOIDArE(S) NAM: QE NILASt1RE(S) FIJI_LTITLF (INCLUDE BALLOT NO, OR LETTER) CANDIDATF(S) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION
!I -A RECAL1, S'iAI-F "RFCA. L" IN =FONT OF THE OFFICEHOLDER'S NAME. IIMrl tl[)F M-RIVI Ton rITY nn r?1IIWTY Ac &R,11 rrnnl Fi
51;➢PC8,'r
GPP CSE
SUPPORI"
Of+POSE
FPPC Form 410 (October/2023)
FPPC Advice: advice@fp c�.ca,R0v (866/275•3772)
www.fPPC.ca.eov,
Statement of Organization
Recipient Committee
INS"IRUC[ IONS ON REVERSE
CCCJi (VtlTTBE NAME
ScUl '?arae :- Police ASSOciation Political Action COMTnitCee
Page 4 or 4
t.D. NUMBER
831553
.. Not formed to support or oppose specific candidates or measures In a single election. Check only one box:
® CITY Committee ❑ COUNTY Commitl:ee ❑ STATE Committee
PROVE bRfEF 31`5CRIPTION OF ACTIVITY
Tc :Hake political contributions to support and oppose candidates and :issues of :interest to the San Rafael Police Association.
List additional sponsors on an attachment.
NAPAE OF SPONSOR JINDUSTRY GROUP OR AFFILIATION OF SPONSOR
Sax; Rafael Police Association Union
STRFFTAI)DRESS NO. AND STREET CITY �- STATE ZIP CODE AREA CODE/PHONE
1.I;20 D fth Alienue San Rafael CA 94901 (415)465--3000
Date aU.IW.d
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 corrlmittee 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 416 (October/2023)
FPPC Advice: advice(7a fppc.ca.gov (866/275-3772)
wwur.fppc.ca.gov