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HomeMy WebLinkAboutNANCE 410 AMEND 01/30/17J Statement of Organization Recipient Committee Statement Type ❑ Initial © Amendment Nolydquellfiad ❑m un I.D. number: „ 13b1oa� [)alit qualifatl as rommittea Date qualifiedascommittee InaPxRxNxl �IMM iJcwc�.1 y 17 KB 16 PM 4.- 32 ❑ Termination —See pan List I.D. number: a —1- OMe O}T¢Fmindt00 FT AOGxIM 140 P.O. anti - tt�,vNFO' IU ;OIRI XWMq EXE CDICMPiFEI IVE Attach additional information on appropriately labeled continuation sheets. penalty of perjury under the laws of the State F cored on 1 3 J I 7 ay _ D Eaecuted on 1 si O TE -T er _ I IM KERN COUNTY 111V ITAT, nP EODE AREACODERXONE xAME F nmOMEOrncanlsl E^7 CP STREET EsslnO PO Noxl a 1 Executed on By Ox1E SlGxniuPE OicoxixDLUxG OFFICEHOLDER CAXDIW *40x5PiF MEASURE PPOPDXFxi ®' EMC.,do0 By OATE 51GIMORE OF CONTROLLING OFFICE XO GER. CANOR DATE, OR STATF MEAEIRE PROPONFXI FPK Form 430 (Jan /2036) FINK Advice: advice ®f opeca.8oe (866/27S3772) .fppc...8ov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE R&Vx , t� G; tv\ CDW NA- i toll 11387o82 AN sommitees moat Il a the finandal hssdtution where the ampdpl bnk account is located. n ) • List the name of each Controlling officeholder, candidate, or state measure proponent. If andidate or officeholder controlled, also list the elective office sought or held, and district number, If any, and the year of the election. • fist the political party with which each officeholder or Candidate is affiliated or check "nonpartisan. • If this committee am jointly with another Controlled Committee, list the name and Identification number of the other Controlled committee. ELECFWEOFFICE SOUGHT OR HELD NAME OF CANDIDATE/OFHCEHOLDEagTATE MEASURE PROPONENT nNCLUOE DISTRICT NUMBER IF APPLIGBLEI YEAR OF ELECTION PAM primarily formed to support or oppose specific Candidates or measures In a single election. List below: CANDIDATE(S) NAME OR MEASUREIA FULLTITLE ONCLUDE BALLOT W. OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELDOR MEASURE(sI FURISDICTION (INCLUDEOIETRICTNO CITYORCOUNTY AS APPLICARLn C"' VV L✓Ylj 20 i'I ® Nonpznban suvvoM•T ❑ D�vvasE ❑ ❑ NOnpanlran primarily formed to support or oppose specific Candidates or measures In a single election. List below: CANDIDATE(S) NAME OR MEASUREIA FULLTITLE ONCLUDE BALLOT W. OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELDOR MEASURE(sI FURISDICTION (INCLUDEOIETRICTNO CITYORCOUNTY AS APPLICARLn FIRK Farm 410 (JM/2016) FM Adaka: adviw"Pe.m.gm (86W2753772) www.Tpix.—aoN suvvoM•T ❑ D�vvasE ❑ 111, lop FIRK Farm 410 (JM/2016) FM Adaka: adviw"Pe.m.gm (86W2753772) www.Tpix.—aoN Statement of Organization Recipient Committee INSTRUMONS ON REVERSE 172,Qj 'IOg Not formed to support or oppose specific candidates or measures In a single election. Check only one box: ❑ CITY Committee ❑ COUNTY CommlUee ❑ STATE Committee IRONDEBmiCFS NnVNOf KTlV List additional sponsors on an attachment. ❑ RN• W�EIIW • 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 of8cars who are leaving office and by defeated candidates. Refer to Government Code Section 89519. Leftover funds of ballot measure committees maybe used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 185215. WPC Form 410 Pan/2016) WPC ACM.: aevkrelppc.ra.6w (666/275 -3M) w - IlpVc.seaov