HomeMy WebLinkAboutPreserve Saratoga 410/.0
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Date Stamp
Statement of Organization j2.
Recipient Committee 1
Statement Type ® Initial
❑ Amendment
Not yet qualified RI or List I.D. number.
a
Date qualified as committee Date qualified as committee
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1. Committee Information
NAME OF COMMITTEE
Preserve Saratoga
STREET ADDRESS (NO P.O. BOX)
❑ Termination — See Part!NIF0
CI
List I.D. number:
of
/---/
Date of Termination
CITY
STATE 21P CODE
IVED AND FIL
ce of a Secretary of St
the State of Ciellfomfa
SEP 26 2018
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Jeffrey A. Schwartz
STREET ADDRESS (NO P.O. BOX)
to
For Official Use only
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AREA CODE/PHONE CITY
Saratoga CA 95070
MNUNG ADDRESS (IF DIFFERENT)
FAX/ E-MAIL ADDRESS
COUNTY OF DOMICILE
Santa Clara
JURISDICTION WHERE COMMITTEE 15 ACTIVE
City of Saratoga
Attach additional information on appropriately labeled continuation sheets.
STATE ZIP CODE
AREA CODE/PHONE
Saratoga CA 95070
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS INO P.O. BOX)
CITY
STATE ZIP CODE AREACODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
Jeffrey A. Schwartz
STREET ADDRESS (NO P.O. BOX)
CITY
Saratoga
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contain -d herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the foregoing is tru verINea by aoFfiIler i
CD/24/2018
Executed on 09/24/2018 By 0e171) rc/ Q 3CfWar1
DATE V SIGNATURE OF TREASURER OR ASSISTANT TREASURER
STATE ZIP CODE
AREA CODE/PHONE
CA 95070
Executed on By
DATE
Executed on By
DATE
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
rietviitti
tom se)
FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www,fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Preserve Saratoga
• All committees must list the financial Institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Pending
ADDRESS
AREA CODE/PHONE
BANK ACCOUNT NUMBER
CITY
STATE
ZIP CODE
4- ?ype of
Committee Complete the applicable sections.
Controlled Cbmmille
• 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."
• If this 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
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF ELECTION
PARTY
❑ Nonpartisan
❑ Nonpartisan
PtimarllyFormed Ctimmf�e
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)
CANDI DATES) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
INCLUDE DISTRICT
................._..___.
CHECK
SUPPORT
ONE
OPPOSE
SUPPOIT
O
O1
FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275.3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Preserve Saratoga
4. Type of Committee (continued)
Cameral Purpose Ct mm'IA�e
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
2 CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Formed to support or oppose measures affecting the City of Saratoga and candidates in Saratoga elections
$:onsored CbmmiAbe
List additional sponsors on an attachment.
NAME OF SPONSOR
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS
NO.AND STREET
CITY
STATE ZIP CODE
Snail Cbritributor Cbmmiiree
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 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275.3772)
www.fppc.ca.gov