HomeMy WebLinkAboutFitzpatrick Form 410Statement of Organization
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Recipient Committee
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Statement Type 0Initial ❑ Amendment ❑ Termination — See Part 5T
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0 Not yet qual�ed
or0Datequalificationthresholdmet Datequalifcationthresholdmet
Date of termination10
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I.D. Number
R Pble
MITTEE
7johnfor Saratoga City Council
7TREASURERzpatrick
X)1435
gasin Way #164
STATE
ZIP CODE AREA CODEIPHONE
STREET ADDRESS (NO P.O. BOXI
14435 C Big Basin Way #164
CITY
Saratoga
CA
95070 669-256-0384
CITY STATE ZIPCODE AREA CODE/PHONE
NAME OF ASSISTAWTREASURER, IF ANY
Saratoga CA 95070 669-256-0384
FULL MAILING ADDRESS (IF DIFFERENT)
STREETADDRESS (NO P.O. BOX)
STATE
ZIP CODE AREA mDE/PHONE
E-MAIL ADDRESS (REQUIRED)/mx(OPTIONAU
CITY
johnfitzfotsmtoga@gmail.com
COUNTY OF DOMICILE
J URISDICTION WHERE COMMITTEE SACrIVE
NAME OF PRINCIPAL OFFICER(S)
Santa Clara
City of Saratoga
STREETADDRESS (ND P.O. BOX)
CITY STATE
ZIPCODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
3. Verification
I have used all maiciriible ) Igence In preparing t is state and to the best o my kI
penalty of perjury under the laws of the State of Califor ' the foregoin i
Executed on 10/2712020 By
i
DATE SIGNATURE OF T
Executed on By
10/27/2020
4
DATE SIGNATURE OF CONTROLLING OFFIC
Executed on By
DATE SIGNATURE OF CONTRO W NG OFFII
In rmatton contarne ereln Is true an compete. ce y
CANDIDATE,
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: adviceCdfpoc.ra. ov 866/275-3772)
WY(w--f92 Ca.ROV
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
John Fitzpatrick for Saratoga City Council 2020
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREACODE/PHONE 1BANIACCOINTINUMBER
Wells Fargo Bank 408-867-9671 6075233129
ADDRESS CITY STATE ZIP CODE
14428 BIG BASIN WAY SARATOGA, CA, 95070
e2
NUMBER
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 Of FICE SOUGHT O R HELD YEAR OF PARTY
...... .... ,.......... .....��..�...�re+n.r ..e.e„or nonenueur ����nr nierolrr uue•e eo ,e A P of Ir A R l Fl PI FrTInN rucrr
John Fitzpatrick
Saratoga City Council
2020
N-Partisan
pa t san
(li pDIR cal party below)
N/A
NonparDsan
Partsan
17, pDIRYn party a ow
. Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S)NAME OR MEASURE(S)FULLTITLE(INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT ORHELD OR MEASURE(S) JURISDICTION
— 1 DPI II —I F) OI ECKONE
,r n nc�nccaini c nc�n�. ��.. ... ..... .... .... ..........-.. _ ....... _.
SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (August/2018)
FPPCAdvice: advice(lft?ec_y.a;g9_v_(866/275-3772)
Statement of Organization I
Recipient Committee
INSTRUCTIONS ON REVERSE
)MMITTEE NAME
John Fitzpatrick 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.
OF SPONSOR
STREET ADDRESS NO.
GROUP OR AFFILIATION OF SPONSOR
STATE
AREA CO
5 TErtninOn R:By s gpingihe verificat o r, We Treasutee assist- treasui er apd[or cehditlate, af(peholdeq, or ppnent cent fy'that alf ofihc following conditions Kaye been met;
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 Fong 410(August/2018)
FPPC Advice: ajg,Ac2(ufpnc.rag;,,,>�866/275-3772)
;usvw.fppc.Ca.Qn) .