HomeMy WebLinkAboutFitzsimmons Form 410 -2nd amendmentStatement of Organization
REGtav
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Recipient Committee
in the office o r-al o ,
Califomla
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Of e ate of
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Statement Type ❑ Initial 0 Amendment
❑ Termination — See Part 5
For Official Usc Only
0 Not yet qualified
Jul 2 1
or
0 Date qualification threshold met Date qualification threshold met
Date of termination
09 / 29 2020
Committee• s I.D. Number 1432153
2. Treasurer and Other' Officers
(i a Plieable)
NAME OF COMMITTEE
E OF TREASURER
Fitzsimmons for Saratoga Council 2020
kKatWcenFitzsimmons
EET ADDRESS (NO P.O.BOX)
605 Big Basin Way
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE AREA CODE/PHONE
13735 Saratoga Ave
Saratoga CA
95070 408-741-1247
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, If ANY
Saratoga CA 95070 408-867-2279
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY STATE
ZIP CODE AR EA CODE/PHONE
ElectKookie@gmail.com
COUNTY OF DOMICILE
IURISDICTION WHERE COMMITTEE IS ACTNE
NAME OF PRINCIPAL OFFICERS)
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
I have used an reasonable diligence in preparing this statement and Jo the best of my knowledge the intormation contained herein is true and complete. I certify under
penalty of perjury ujjnde the flaw} s of the State f alalifpr i th the r goin is true and correct.
Executed on �' 1� Ci`�%OL' By L / '1'" ✓ ���'�/`—�
D TE^�,r� - GNAT fOFTREASURER OR ASSISTANT TREASURER
Executed on [�) / (!\ By Ca V V"l, ,1 �e `' i rl'
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 By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fapc.ra.eov (866/275-3772)
IN r.fppC.C�,6V
statement or organization
Recipient Committee
CALIFORNIA
410
_
M
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
Fitzsimmons for Saratoga Council 2020
NUMBER
I.C.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
325156685384 (new account as of 6/11/2021)
ADDRESS
CITY
STATE ZIP CODE
333 North Santa Cruz Ave
4. Type of Committee Complete the applicable sectiails.
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 YEAROF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE nISTRICT NIIMRFR IF ARPI If ARI F1
Colleen "Kookie" Fitzsimmons
City of Saratoga, Member, City Council
2020
"
Nonpartisan
✓
V
Partisan
Qist 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:
CANDIDATEIS) NAME OR MEASUREIS) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASUREIS) JURISDICTION
IF A RECALL, STATE"RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDFnmTRirTNn. CITY OR COUNTY AS Aom!CABLEI
SUPPORT OPPOSE
SUPPORT I OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fooc.ca.eov (866/275-3772)
www.fooc.ca.gov