HomeMy WebLinkAboutFitzsimmons - 410-initial Secretary of Stateq 3
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Statement of Organization i `J i J
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❑ Termination—SeePartS
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Amendment
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2020
or
O Date qualification threshold met
Date qualification threshold met
Date of termination
I.D. Number
2. Treasurer and;Other Principal Officers
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NAME OF TREASURER
Katbleen Fitzsimmons
NAME OF COMMITTEE
Fitzsimmons for Saratoga Council 2020
STREET
ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE AREA CODE/PHONE
13735
CA
95070 408-
STATE ZIP CODE AREA
OF DOMICILE
JURISDICTION WHER E COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFf ICER(5)
Santa Clara
City of Saratoga
STREET ADDRESS (NO P.O. BOXI
CITY STATE
ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
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under the laws of the Sta
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT
executed an
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/1018)
FPPC Advice: advicePfPPc.ca.faov ($66/275-3772)
www.fppc.Ca.?,OV
Statement of OrganizationCALIFORNIA,
Recipient Committee
• - 4
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
Fitzsimmons for Saratoga Council 2020
I.D. NUMBER
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
AREA CODE/PHONE
BANK ACCOUNT NUMBER
Bank of America
ADDRESS CITY STATE ZIP CODE
333 North Santa Cruz Los Gatos CA 95030
-
4. . of Committee Complete thp 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.
• 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
Nonpartisan
Partisan
(lis[political party below)Colleen
"Koo)de" Fitzsimmons
City of Saratoga, Member City Council
2020
Nonpartisan
Partisan
(list political parry below)
( Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATES) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASUREIS) JURISDICTION
IF A RECALL, STATE -RECALL IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fw0aca.eov (866/275-3772)
www.fo0csa.e0v
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Fitzsimmons for Saratoga City Cound12020
Pate 3
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 OESCPoPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS
Small Contributor Committee
GROUP OR AFFILIATION OF SPONSOR
I'll STATE ZIP CODE AREA CODE/PNDNE
S. Termination Requirements By signing the veribcahon, the treasurer, assistant treasurer and/or candidate, officeholder, orponentCertify that all ofthe followmgconditionshave beenmet
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: advice0fooc.ca.¢ov (866/275-3772)
vvW WJnnc.ca.eov