HomeMy WebLinkAboutFitzsimmons -410-amendment -Secretary of StateStatement of Organization
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Recipient Committee
of the SecretaStatementType
❑initial ® Amendment
❑ Termination — See Part 6 Df the Stateof Californ
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Date of termination
1 09 2� 2020
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1. Committee • • I.D. Number 14321532.
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NAME OF COMMITTEE
Treasurer and Other Principal
NAME OF TREASURER
Fitzsimmons for Saratoga Council 2020
Kathleen Fitzsimmons
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIPCODE
AREA CODE/PHONE
Saratoga CA 95070
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Saratoga CA 95070
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS IND P.O. BOx)
COUNTY OF DOMICILE
IURISDICTION WHERE COMMITTEE IS ACTWE
NAME OF PRINCIPAL OFFICER(S)
Santa Clara
City of Saratoga
STREET ADDRESS (NO P.O. BOX;
Attach additional information on appropriately labeled continuation sheets.
3. Verification
CITY STATE ZIP CODE
AREA CODE/PHONE
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PROPONENT
Executed on By
DATE 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(aDfooc.ca.E:ov (866/2753772)
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
CALIFORNIA 410
FORM
COMMITTEE NAME
1.0, NUMBER
Fitzsimmons for Saratoga Council 2020
1432153
• 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
866-834-9286
ADDRESS
CITY
STATE ZIP CODE
333 North Santa Cruz Ave
Los Gatos
CA 95030
4. a• of Committee CoiiipletQ 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.
• 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
Colleen "Kookie" Fitzsimmons
City of Saratoga, Member, City Council
2020
Nonpartisan
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:
CANDIDATES) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RFCALI_ 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/1018)
FPPC Advice: advice(Wfooc.ca.eov (866/275-3772)
www.fpoc.ca gpyJ