HomeMy WebLinkAboutForm 410- Kate Colin for City Council 2017 Termination (State)Statement of Organization
Recipient Committee
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al —
Not yet qualified
or
Date qualification threshold met
I.D. Numbe
(if applicable)
J Amendment
ate qualification threshold met
1357514
NAME OF COMMITTEE
Re-elect Kate Colin for San Rafael City Council 2017
STREET ADDRESS (NO R0. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
San Rafael CA 94901
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAILADDRESS)REQUIRED) I FAX (OPTIONAL)
Marin County
of San Rafael
Attach additional information on appropriately labeled continuation sheets.
penalty of perjury under the laws of the Stafe of C fern- that the
Executed on March 2, 2020 By
DATE
Executed on March 2, 2020 By
Termination —See Part
my
Date of termination
t
03. 2020
Richard Kalish
Date Stamp
office of the Secretary of Si
of the Stab of California
MAR 12 2020
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94903
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICERiS)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
contained herein is true
SIGNATURE OF CONTROLLING OFFICEHOLDER, CAN DI DATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275.3772)
wwwJppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Re-elect Kate Colin for San Rafael City Council 2017
• All committees must list the financial institution where the campaign bank account is located.
Bank of Marin
465-2265
02335560
ADDRESS CITY STATE ZIPCODE
1101 Fourth Street San Rafael CA 94901
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NUMBER
1357514
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•
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 YEAROF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN NAME OR M EASUREIS) FULL TITLE (INCLUDE BALLOT NO, OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME,
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275.3772)
www.fppc.ca.gov
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:
CAN NAME OR M EASUREIS) FULL TITLE (INCLUDE BALLOT NO, OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME,
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275.3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Re-elect Kate Colin for San Rafael City Council 2017
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
a . . List additional sponsors on an attachment.
NAME OF SPONSOR
❑ ��
Date quallHed
OR AFFILIATION OF SPONSOR
CODE
Page 3
1357514
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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 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov