HomeMy WebLinkAboutFitzsimmons -2021 Amended 410Statement of Organization
Recgsil-
l1/ e O Dawte Smmp ,
ate
❑ Initial
® Amendment
Statement Type
❑ Termination — See Part 5 offtretary of
CatifoTnia Sta
For OfT c al use Only
Q Not yet qualifiedJ
���
or
Date qualification threshold met
Date qualification threshold met
?
Date of termination o?�
1 1
06 1 111 2021
Committee1. • • I.D. Number 1432153
r P w�awe
NAME OF COMM ITTEE
NAME OF THEA5URER
Fitzsimmons for Saratoga Council 2020
Kathleen Fitzsimmons
STREET ADDRESS (NO P.D. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE
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 HF DIFFERENT)
STREET ADDRESS INO P.O. BOX)
EMAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY STATE ZIP CODE
AREA CODE/PHONE
ElectKoolde@gmail.com
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE 15 ACTIVE
NAME OF PRINCIPAL OFFICER(5)
Santa Clara
City of Saratoga
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY STATE ZIP CODE
AREA CODE/PHONE
I have used all reasonable diligence in preparing this tat ment an to the best of my knowledge the information contained herein is true and complete. I ceroty under
penalty of peryu and r the laws of the
Executed on "Z' t By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on Rv
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(August/2018)
FPPC Advice: adviceCafooc.ca.E:ov (866/275-3772)
www.fopc.ca.Qoy
f r ,
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. 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 CODEIPHONE BANK ACCOUNT NUMBER
Bank of America 866-834-9286 (new account as of 6111/2021)
ADDRESS CITY STATE ZIP CODE
333 North Santa Cruz Ave Los Gatos CA 95030
• 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 APPLICABLEI ELECTION 1„r11-
Nonpartisan
Partisan
(list Political party below)
Colleen "Kookie" Fitzsimmons
City of Saratoga, Member, City Council
2020
It
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) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE(SI 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: advice0fooc.ca.eov (866/275-3772)
www.fnoc.ca.Rov