HomeMy WebLinkAboutSULLIVAN 410 TERMINATIONStatement of Organization
Date Stamp
, • . ,
Recipient Committee
• -
Statement Type Initial
❑ Amendment
®Termination —See. Part 5
For Official Use Only
® Not yet qualified
201I AUG
-3 AM 9-' 06
or
® Date qualification threshold met Date qualification threshold met
Date of terminc�u��E�
2 21
/
1. Committee Information
2. Treasurer and
Other Principal Officers
(if opplicableJ
NAME OF COMMITTEE
NAME OF TREASURER
Jacquie Sullivan for City Council 2016
LaDonna Dodge
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
FULL MAILING ADDRESS (IF DIFFERENT)
STREETADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
CITY
STATE
ZIP CODE AREA CODE/PHONE
jacquic@libertystar.net
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
Kern
City of Bakersfield
STREETADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY STATE
21P CODE AREA CODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this
penalty of perjury under the laws of the Stat li
Executed on L—
DATE
Executed on
DATE
Executed on
Executed on
knowledge the information contained herein is true and complete. I certify under
nd. correct.
DATE By
DATE
By
-1-1 URC Ur WIN I RULLII- --t-LUCK, UANUIUAI C, UK DW [ NICAWKL YRUYUNLN 1
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.eov (866/275-3772)
www.fpi)c.ca.gov
Statement of Organization
Bakersfield City Council, Ward 6
CALIFORNIA'
Nonpartisan
lif
Partisan
(list political party below)
Recipient Committee
• -
INSTRUCTIONS ON REVERSE
Partisan
(list political party below)
Page 2
COMMITTEE NAME
I.D. NUMBER
Jacquie Sullivan for City Council 2016
950347
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
AREA CODE/PHONE
BANK ACCOUNT NUMBER
(
ADDRESS CITY
STATE ZIP CODE
4. Type of Committee Complete 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
(INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Jacquie Sullivan
Bakersfield City Council, Ward 6
2016
Nonpartisan
lif
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)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.eov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME
I.D. NUMBEF
Jacquie Sullivan for City Council 2016
950347
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Date qualified
Termination5. •
• 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(August/2018)
FPPC Advice: advice@faac.ca.gov (866/275-3772)
www.fppc.ca.gov