Loading...
Form 410- Greg Knell for City Council 2020 (State)Statement of Organization // � / /�///J V Date Stamp Recipient Committee L RECE Zt- A D Statement Type m the office of the ,,ecrefa Yp ❑x Initial ❑ Amendment ❑ Termination — See Part 5 Ofthe For ,c1a 5 o, the �,a^e of Califo (� Not yet qualified or JUN 30 202 SEP ? 2020 Date qualification threshold met Date qualification threshold met Date of termination ' / 25 /2020 11y Cl , (if 1. Committee Information I.f applicable) Number T -2 -Treasurer and Other Principal Officers NAME OF COMMITTEE NAME OF TREASURER Greg Knell for City Council 2020 Greg Knell STREET ADDRESS (NO P.O BOXI STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94903 ( CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY San Rafael CA 94903 ( Shawnda Deane FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE. ( Sacramento CA 95815 ( COUNTY OF DOMICILE IURISDICTION WHERE COMMITTEE 15 ACTIVE NAME OF PRINCIPAL OFFICER(5) City of San Rafael City of San Rafael STREET ADDRESS (NO P -O. BOxI Attach additional information on appropriately labeled continuation sheets. 3. Verification 1 have used all reasonable diligence in preparing STATE MEASURE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT 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 COMMITTEE NAME Greg Knell for City Council 2020 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION First Foundation Bank ADDRESS AREA CODE/PHONE (916)283-8042 CITY BANK ACCOUNT NUMBER STATE ZIP CODE 1601 Response Road, Suite 190 Sacramento CA 95815 4. Type of Committee Complete the applicable sections. I.D. NUMBER 2 of 3 • 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 CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Greg Knell City Council Member City of San Rafael Di 4 trict 2020 Nonpartisan X 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) FULLTITLE (INCLUDE BALLOT NO. OR LETTER) IF A RECALL, STATE "RECALL" IN FRONT OFTHE OFFICEHOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE T I OPPOSE OPPOSE 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 Page 3 of 3 COMMITTEE NAME I.D. NUMBER Greg Knell for City Council 2020 4. Type of Committee (Continued) 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 List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR J STREETADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE Small Contributor Committee Date qual:fled S. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been 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 maybe 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