HomeMy WebLinkAboutForm 410 - Kate Colin for San Rafael Mayor 2024; Initial (State)-21
Statement of Organization -575
13 i
Recipient Committee n
Statement Type 0 Initial ® Amendment ® Termination — See Part 5
`lot yet qualified
or
10 Date qualification threshold met Date qualification threshold met Date of termination
1. Committee InformationI.D. Number
I (if applicable)
NAME OF COMMITTEE
Kate Colin for San Rafael Mayor 2024
office of the Secretary of Statia %,^L-1111'
of the State of California S
JAN 17 2023
�� 9 2 g 2023
2. Treasurer and Other Principal Officer l -T -Y
NAME OF TREASURER
Kate Colin
STREET ADDRESS NO P.O. BOX)
STREETADDRESS (NO P.O. BOX) CITY
CITY STATE ZIP CODE AREA CODE/PHONE
Novato CA 94949-5731 (
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
JURISDICTION WHERE COMMITTEE IS ACTIVE
San Rafael
Attach additional information on appropriately labeled continuation sheets.
STATE ZIP CODE AREA CODE/PHONE
Novato
CA 94949-5731 (
NAME OF ASSISTANT TREASURER, IF ANY
Nancy L Warren
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
Novato
CA 94949-5731 (
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
. VeirllfkatioR
I have used all reasonable diligence in preparing
OR STATE MEASURE PROPONENT
Executed on
DATE
By
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)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Kate Colin for San Rafael Mayor 2024
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Bank of San Francisco
ADDRESS
AREA CODE/PHONE
(415)744-6700
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
I.D. NUMBER
2 of 3
345 California Street )#1600 San Francisco CA 94104
Complete the applicable sections.
Controlled Committee
• 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 CHECKONE
Kate Colin
Mayor San Rafael
2024
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)
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 OPPOSE
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization• " ` ' ,
Recipient CommitteeFORM'
• " 1
INSTRUCTIONS ON REVERSE
Page 3 of 3
COMMITTEE NAME I.D. NUMBER
Kate Colin for San Rafael Mayor 2024
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
Smafl Contributor Committee
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)
wwwgppc.ca.gov