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410 amendment PaquierStatement oT Organization Date Stamp CALIFORNIA Recipient Committee 410 FORM Statement Type ❑ Initial ® Amendment ❑ Termination - See Part 5 For Official Use Only O Not yet qualified or O Date qualification threshold met Date qualification threshold met Date of termination 1- —/ 6 2020 ■ I.D. Number r surer an Other Principal i a licableJ NAME OF COMMITTEE RRenee Paquier for Saratoga City Council 2020 7Farrah 7Ayari STREET ADDRESS (NO P.O. BOX) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Morgan Hill CA 95037 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) PO Box 3652, Saratoga CA 95070 E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE contact@:renee4saratoga.com COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) Santa Clara Saratoga STREET ADDRESS (NO P.O. BOX) Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE 3. Verification I have used all reasonable diiieence in preparing thic QtAYYI tPPnt anri r +ho k—.,� ..,., i....., A.A. - - - W, Illy O„wVVlCV5C Ric unDUI nICILHJn L.UnLdrhea herein Is true and complete. 1 cerrlty under penalty of perjury under the laws of the State of California 10/6/2020 By Y _�— SIGNATURE OF MEASURE PROPONENT Executed on DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advicerlfoac.ca.eov (866/275-3772) www.fonc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Renee Paquier for Saratoga City 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 408-725-4264 ADDRESS CITY STATE ZIP CODE 1660 South De Anza Blvd San Jose Ca 95129 • 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 ads 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 rucrKnuc Nonpartisan Partisan (list political party below) Renee Paquier City Council, Saratoga 2020 J Nonpartisan Partisan (list political party below) Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANbIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHTOR 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: adviceL@fppc.ca.eov (866/275-3772) www.fooc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Renee Paqui=er for Saratoga City Council 2020 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 OFACTIVITY • List additional sponsors on an attachment. NAME OF SPONSOR NDUSTRY GROUP OR AFFILIATION OF SPONSOR Page 3 STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE Date aualRted 5. Termination RequirementS By Signing the verification, the treamirer, assistant treasu rer a nd/or ca ndidate, officehoW r, or ponent certify that all of t he fotlowi ng co rid itions haye bee n met This committee has ceased to receive contributions and make expenditures; c 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: adviceCy fppc.ca.sov (866/275-3772) www.fppc.ca.gov