HomeMy WebLinkAboutForm 410 - Jonathan Frieman for City Council D3 2022 (Initial)Statement of Organization
Recipient Committee
Statement Type ❑ Initial ❑ Amendment ❑ Termination —See Part
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0 Date qualification threshold met Date qualification threshold met Date of termination
S E P 2 2 2022
CITY CLERK'S OFFICE
1. Committee Information I.D. NumberI 2. Treasurer and Other Principal Officers
(if applicable)
NAME OF COMMITTEE
JONATHAN FRIEMAN FOR CITY COUNCIL DISTRICT 3 2022
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
CA 90650 (
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
/ (
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE
Marin i San Rafael
Attach additional information on appropriately labeled continuation sheets.
NAME OF TREASURER
Jonathan Frieman
For Official Use Only
STREET ADDRESS {HO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
San Rafael
CA
94901
(
NAME OF ASSISTANT TREASURER, IF ANY
DAVID L. GOULD
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Norwalk
CA
90650
(
NAME OF PRINCIPAL OFFICER(S)
Ingrid Orellana-Assistant Treasurer
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Norwalk
CA 90650 (
3. Veri "cation
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 foregqjn&4s-��rect
Executed on 9/14/2022 By
DATE
Executed on 9/14/2022 By
DATE S FS NAIPMCOf CONI LING OF ICEHOLOER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTSOILIVt OFFICEHOEDER,CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
nedile.com
By
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
JONATHAN FRIEMAN FOR 'CITY COUNCIL DISTRICT 3 2022
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
California Bank & Trust
ADDRESS
AREA CODE/PHONE
(
CITY
BANKACCOUNT NUMBER
5800686957
STATE ZIP CODE
Los Angeles CA 90071
4. Type of COMM ittee 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
Jonathan Frieman
City Council Member San Rafael District
3
2022
Nonpartisan
X
Partisan
(fist 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 MEASUREIS) FU LL 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)
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
C O'A N1 i I ti -*AML I.D. NUMBER
JONATHAN FRIEMAN FOR CITY COUNCIL DISTRICT 3 2022
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
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
!]u(e/11t4tl {/LRI41 �t�IIIlIll1 {{��
Date qualified
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