Loading...
Fitzsimmons -Form 410 -Initial€ EC IVED owl tATY MANAGER'S OFF1C"' 2020 MG 76 PM 12, 50 tF 5i'SATOOA ARATOGA. Off, Statement of Organization CALIFORNIA Recipient Committee • - Statement Type ® Initial ❑ Amendment ❑ Termination m See Part 5 For Official Use Only Q Not yet qualified or O Date qualification threshold met Date qualification threshold met Dale of termination • • • 1.®. fVUrriber • • Officers (if applicable) OFCOMMITTEE NAME OF 7Rt.simmonsfor Saratoga Council 2020 Kathleen Fitzsimmons STREET ADDRESS (NO PO. 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 (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) EMAIL ADDRESS (REQUIRED)/FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE electkoolde@gmail.com COUNTY OF DOMICILE IURISDICTIO"WIIERECONIMITTEEISACTIVE NAME OF PRINCIPAL OFFICER(S) Santa Clara City of Saratoga STREET ADDRESS IND P.O. SOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. 3. Verification I ITAVP IKPri all rPAgnnAhlP dill9PnrP In nrenarin2 this Statement an athe best of my knowledee the information contained herein is true and complete. I certify under penalty of perlury u der the laws of the Executed on e12 Ll B) 4 DATE Executed on S 47" `% ' " B) DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE ME45URE PROPONENT Executed On By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410(August/2018) FPPC Advice: adviceLc7i fPpc.caovv (866/275-3772) www.Fooc.Ca.aov Statement of Organization CALIFORNIA' Recipient Committee • - INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Fitzsimmons for Saratoga Council 2020 = 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 Los Gatos CA 95030 4. Type of Committee Complete 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 CAN MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Nonpartisan Partisan (list political party below) Koolde Fitzsimmons City of Saratoga, Member, City Council 2020 *41 Nonpartisan Partisan (list political party below) Kathleen Fitzsimmons 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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) 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 0ifppD.ca.goy (866/275-3772) N�4VWAP C.La.2OV Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 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 DESCRIPTION OFACTNITY List additional sponsors on an attachment. NAME OF SPONSOR OFSPONSOR Date qualified Termination5. 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.aoy (866/275-3772) wwW.fppc.ca.ROy