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Fitzsimmons -410-amendment -Secretary of StateStatement of Organization In t o oncemG Recipient Committee of the SecretaStatementType ❑initial ® Amendment ❑ Termination — See Part 6 Df the Stateof Californ Q Not yet qualified OCT 7i7 or 0 9Z010 O Date qualification threshold met Dale qualification threshold met Date of termination 1 09 2� 2020 _/� 1. Committee • • I.D. Number 14321532. o n�amr 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 l nave usea all reasonaole aingence in 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) W W J0-Csa,go_v, 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