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HomeMy WebLinkAboutHALL 410 tatement of Organization R~51plent Committee /Amendment E] Check box If an Amendment and cRIer I.D, number: Itl SIRUCIlONS ON REVERSE 1. Committee Information Date qualified as committee RA I n~ I . NAME OF COMMIFIEE 19 9 9 ~ Not yet qualified Ilarvey ttal 1 for Mayor ConlnlitLee ADDRESS OF COMMItlEE NO. AND STREET (NO ~O. BOX) 1gO12lst Street CIIY Bakersfie]d ~;OUN IY OF DOMICILE Kern FIle original end one copy with: Date Stamp Secretary of Slate Political Reform Division P,O. Box 1467 Sacramento, CA 95812-1467 County end City Committees file a copy wllh: Local filing officer who will receive the original disclosure statemania. Type or prinl In Ink 2. Treasurer and Other Principal Officers Jacqual tne ALL NAME OF 1REASURER 1001 21st Street MAILING ADDRESS Bakersfield Ca 93301 CI IY STATE ZIP CODE S TAI E ZIP CODE AREA CODE/PttONE NUMBER Ca 93301 661-322-1625 COUNTY WnERI~ COMMIt tlE~E I,~ ACIIVE IF DIFFEREN111tAN COUNTY OF DOMICILE STATEMENT OF ORGANIZATION CALIFORNIA I~U FORM 4 1 O 661-322-1625 AREA CO~E/D AYTIME PttONE NAME AND POSIIlON OF OILIER PRINCIPAL OFFICER(S), IF APPLICABLE MATING ADDRESS MAILING ADDRESS (IF DIFFEREN1) NO AND STREET OR PO BOX P 0 Box 2988 CItY STA1E ZiP CODE Bakers field Ca 93301 OPIIONAL: AREA CODE/FAX HUMBER 661-322-1438 AREA CODE/PI tONE NUMBER OFqIONAL: E-MAIL ADDRESS hl h(al i ghts peed. net CI P( S TAI E ZIP CODE AREA CODE/UAY| IME Pt K)NE OFRONAI, E-MAIL ADDRESS OFIIONAL: AREA CODE/~AX NUMBER Attach additional tnfomratton on appropriately labeled continuation sheets. 3. Verification ' I have used all leasDRab e diligence in preparing Illis statenlent and !o II,- h,~,, nl my knowledge !he inlormallon caRlaiRed heroin is true and complete. I cerlily under penally of perlury under the laws of the Slale o! Calilomla lhat !hp' lorec~lnn-i .~,~me d c ~- Executed on .- i~ o 1999 By I 1; E 9 . / , _ ~ , ASU.~. ' Execuled on A r~-I 8 " .^,9 Er~ ' ' s, ~ n. CAI',I{)IDAIE, OR STATE~ Executed on By OAf E SIGNATURE OF CONIROtLING OFFICEHOtDIEFI. CANDIDAlE, OR SIAl E MEASURE PROPaNON! Executed on By DAI E SIGNATURE O~ CONTROLLING OFFICEtIOt(ER. CAN~DAIE, OR S/AlE MEASURE ~ONENT ran INFORMATION REQU;nED to BE PROVIDED 1OI13U PURSUAH110 TIlE It,IFORMAIION PnACIICES ACT OF fall, SEE INFORMARON MANUAL OH CNW'NftN[NSCLOSUFIE PROVISIONS OF 1111: POLIIICAL REF(]~tM ACT. FPPC Form 410 (2198) For Technical Aeelelance: 9161322-5660 Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE NAME OF COMMt I lEE Harvey Hall for Hayor Committee 4. Type of Committee: complete the applicable sections. STATEMENT OF ORGANIZATION CALIFORNIA 4 10 1998 FORM Pepge 2 ~'~MBER (IF AMENDMENT) Controlled Committee · List the name of each controlling officeholder, candidate, or stale measure proponent. If candidate or officeholder controlled, also list the elective oilice sought or held, and district number, if any. · List the political parly with which each officeholder or candidate is alfiliated. An officeholder or candidate not holding or seeking a padisan office must indicate 'non-partisan.' · If this committee acts loinfly with another controlled committee, lisl Ihe name and Identification number of the olher controlled committee. · List the disposition of surplus funds. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT: ttarvey L. ttal 1 DISPOSI11ON OF SURPLUS FUNDS: Boys and Girls Club of Bakersfield Primarily Formed Committee CANDIDATE'S NAME OR MEASURE'S FULL TITLE (INCLUDE BALLOT NO. OR LETTER) ELECTIVE OFFICE SOUGIll OR tIELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) Nayor of Bakersfield Primarily formed to suppod or oppose specific candidates or measures in a single election. List below: CANDIDATE'S OFFICE SOUGItT OR HELD OR MEASURE'S JURISDICIlON (INCLUDE DISTRICT NO,, CiTY OR COUNTY, AS APPLICABLE) PARTY ~on-Partisan General Purpose Committee , Not formed to suppod or oppose specific candidales or measures in a single election. Check only one box: [] CITY Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY CHECKONE SUPPORT OPPOSE SUPPORT OPPOSE [] COUNTY Committee [] STATE Committee Sponsored Committee NAME OF SPONSOR: Provide additional sponsors on an attachment. INDUSTRY GROUP OR AFFILIATION OF SPONSOR: MAILING ADDRESS: NO. AND STREET CITY STATE ZIP CODE FPPC Form 410 (2198) For Technical Assistance: 916/322-5660