HomeMy WebLinkAboutForm 410 - Faye Bourret for Board of Education 2022 (State)MAY 20 2022 D
CITY CLERK'S OFFICE
Statement of Organizatio 1
Recipient Committee L_..,
Statement Type ® Initial ❑ Amendment
5 Not yet qualified
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Datequalificationthreshold met Date qualification threshold met
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1.0. Number
,\ \ Faye Bourret for Board of Education - 2022
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CITT STATE ZIP COOr AN EA COOOPIIONIF
San Rafael CA 94901
FULL MAILING A001E$1 OF GIrsERZNrj
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E-MAIL ADDRESS Ip-xOVIREDI /FAX (OPnDNAQ
COUNTY OF OOrn CiLE I1111"N TION WH "I 11111R111TE[1 ACTIVE
Orange Marin
Attach additional information on appropriately labeled continuation sheets.
❑ Termination – See Part 6
Date of termination
Faye Bourret
STREET ADDRESS (NO P"o" 60x)
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San Rafael
NAME OF AiSISTmT TREASURER, IF ANY
STREETAOORESS INo RD- BOX)
CITY
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS IN F.C. BOX)
CITY
Of the State of
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For Official Use Oldy
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STATE lipcoDE Amvmcwvps
CA 94901
STATE ZIP CODE
I Ircvc UICU all ;edWFIdUiL oalger,ce in preparing
p1TE, OR STATE MEAS1IPE PROFONfNr
Executed on By
DATE NGNATURE OFCOHTR(ILUNG OFFICEHOLDER, CANDIDATE, OR 5TA75 MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTAOWNG OFFICEHOLDER, CANDIDATE, OR STATE MILM"K ppopo"FE
FPPC Form 410 (August/2018)
FPPC Advice, adviegM iac.ea-sov {866/275-3772)
www.fooc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Faye Bourret for Board of Education - 2022
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
California Bank & Trust
ADDRESS
550 S Hope St Suite 100
AREA CODE/PHONEA • f[k
ZIP CODE
Los Angeles CA 90071
Page 2
I.D. NUMBER
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
Ifthis committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
(INCLUDE DISTRICT NUMBER IFAPPLICABLE) ELECTION CHECKONE
Faye Bourret Nonpa,
San Rafael Board of Education Trustee Area 4 2022
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN DIDATE(S) NAME OR MEA5U RE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CAN DIDATE(5) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE -RECALL IN FRONT OF THE OFFICEHOLDER'S NAME. I.......,.�..�r.,...r
party
FPPC Form 430 (August/2018)
FPPCAdvice: dvi f c. av(866/275-3772)
www.AC.ce.go'