HomeMy WebLinkAboutForm 410 - Kate Colin for San Rafael Mayor 2020; Termination (State)Statement of Organization
Recipient Committee
Statement Type I0 Initial
Amendment 10 Termination -See Part
® Not yet qualified
or
® Date qualification threshold met I Date qualification threshold met
®/��/ 01 _( 21 1 2020
1. Committee Information B.D. Number
(if applicable) 1423740
NAME OF COMMITTEE
Kate Colin for San Rafael Mayor 2020
STREET ADDRESS (NO P.O. BOX)
20 Galli Drive STE A
CITY STATE ZIP CODE AREA CODE/PHONE
Novato CA 94949-5731 (415)884-5500
FULL MAILING ADDRESS (IF DIFFERENT)
PO Box 150817 San Rafael, CA94915-0817, CA 94949-5731
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
katecolinsanrafael@gmail.com;nwarren@wepacca.com / (415)884-5501
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE 15 ACTIVE
Marin County
San Rafael
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing this statement d -i
penalty of perjury unde the Ows of the State of California t t e f
Q � �4107�'
Executed on By
DAT
Executed on By
AT
Date of termination
12 / 3-,/ 2022
Date Stamp
.CEIVED AND Fol.
c, office of the Secretary of
of the State of California
JAN 17 2023
%w oOtte(Uie aff t5
JAN 31 2023]1
2. Treasurer and Other Principal Office 1e 1 1 yLL^Ilei I V Vf 1 lull-
NAME
VL
NAME OF TREASURER
Kate Colin
STREET ADDRESS (NO P.O. BOX)
20 Galli Drive STE A
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Novato
CA
94949-5731
(415)205-3119
NAME OF ASSISTANT TREASURER, IF ANY
Nancy L Warren
STREET ADDRESS (NO P.O. BOX)
20 Galli Drive STE A
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Novato
CA
94949
(415)884-5500
NAME OF PRINCIPAL OFFICER($)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIPCODE AREA CODE/PHONE
best of my knowledge the information contained herein is true and complete. i certify under
�g is true V_�eorct.
ASSISTANTTREASVRER
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
nef%tle.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
Page 2 of 3
COMMITTEE NAME I.D. NUMBER
Kate Colin for San Rafael Mayor 2020 1 1423740
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREACODE/PHONE BANK ACCOUNT NUMBER
Bank of San Francisco (415)744-6700 704022944
ADDRESS CITY STATE ZIP CODE
575 Market Street #900 San Francisco CA 94105
4. Type of Committee Complete the applicable sections.
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.
s 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
Kate Colin
Mayor San Rafael
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) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL' IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
T T 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
Kate Colin for San Rafael Mayor 2020
4. Type
(Continued)
General• 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
STREET ADDRESS NO. AND STREET
CITY
GROUP OR AFFILIATION OF SPONSOR
Page 3 of 3
I.D. NUMBER
STATE ZIP CODE AREA CODE/PHONE
Smoli Contributor
Date qualified
5. 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 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