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Carol Marques - Form 410 (2018)h 0 1v Statement of Organization CID { Recipient Committee � q` �- Statement Type ® Initial ® Amendment ® Termina —1 ee Fart 5 ® Not yet qualified Qc or 6C4 Q Date qualified as committee Date qualified as committee Date of terminatio�t Date Stamp 1. Committee Information I.D. Number 2. Treasurer and Other Principal Officers (if applicable) NAME OF COMMITTEE CAROL MARQUES FOR CITY COUNCIL -2 0 1"'1 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) E -MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE SANTA CLARA GILROY, CA 95020 Attach additional information on appropriately labeled continuation sheets. NAME OF TREASURER CAROLYN TOGNETTI STREET ADDRESS (NO P.O. BOX) NAME OF ASSISTANT TREASURER, IF ANY CAROL MARQUES STREET ADDRESS (NO P.O. BOX) NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on By D E PROPONENT Executed on I 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 (February /2018) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER CAROL MARQUES FOR CITY COUNCIL All committees rmust list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE BANK ACCOUNT NUMBER DDRES1S� ( � �A 1 CITY STATE ZIP CODE l E- -`-� 1 UA V 1 4. T. pe of Committee . Complete the applicable sections., ....i .. _ b.MduS.[.3 ialSniYsmrL�n ..i�.i^��'a'�•'+za4.a.: . .. ;�2v�'�3'.L`�`e�t : i? rs�. kSFk: n:Fi3�$sruv�a4%.�div�etu'Y�ti� ^— '*� >*OY..F��.v���= ]�.��.�"3 ^ �r� Controlled Committee • 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. a List the political party with which each officeholder or candidate is affiliated or check "nonpartisan:' Stating "No party preference" is acceptable. e 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 CHECKONE Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT Nonpartisan Partisan (list political party below) CAROL MARQUES GILROY CITY COUNCIL 2018 El Nonpartisan Partisan (list political party below) Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE FPPC Form 410(February /2018) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) wwwJppc.ca.gov SUPPORT OPPOSE SUPPORT 1-1 OPPOSE LL FPPC Form 410(February /2018) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) wwwJppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D. NUMBER 4. Type of Committee (Continued) General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party /Central Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET t�]uf JI�R41 / {/UJ!1411[•I�lJl/u/l { {� =!• ❑ Date qualified CITY GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE AREA CODE /PHONE 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and /or candidate, officeholder, or proponent certify that all of the following conditions have 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 Form 410(February /2018) Clear Page Print FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov