HomeMy WebLinkAboutGOH 410 AMEND 11/27/23Statement of Organization
Date Stamp
• -
Recipient Committee
'
• -
Statement Type 10 Initial
® Amendment
❑ Termination — See Part 5
For Official Use Only
Q Not yet qualified
1013 NOY 7 PM 3: 56
or
Q Date qualification threshold met
Date qualification threshold met
Date of terrVX i'rRvh IE 0 L1 T Y CLERh
10 26 f 2023
�1�
I.D. Number
1423226'2.
Treasurer and Other PrincipalOfficers
(i/applicable)
NAME OF COMMITTEE
NAME OF TREASURER
Karen Goh for Mayor 2024
Louis I. Barbich
STREETADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE
EMAIL ADDRESS OF TREASURER (REQUIRED)
AREA CODE/PHONE
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE
FULL MAILING ADDRESS (IF DIFFERENT)
Bakersfield
CA 93309
NAME OF PRINCIPAL OFFICER(S)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Kern Bakersfield
STREET ADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE
I EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED)
Attach additional information on appropriately labeled continuation sheets.
AREA CODE/PHONE
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
enalt of- er ur under -the -laws -of -the State-of-051if rni- that the -fore oln is-tcue=andsor_rect-- -
Executed on -- -
11/27/2023
By
DATE 11/27/2023 IGN URE OF TREASURER. OR ASSISTANT TREASURER
Executed on ., BY
DATE SI N TORE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
BY
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 430 (October/2023)
FPPC Advice: adviceCBfppc.ca.eov-(866/275-3772)
www.fppc.ca.eov
Statement of Organization
6ALIFORNIA
41
Recipient Committee
• -
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
Karen Gob for Mayor 2024
1423226
- All committees must list the financial institution where the campaign bank account is located and the person(s) authodied to obtain bank records.
NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS
AREA CODE/PHONE
BANK ACCOUNT NUMBER
Tri Counties Bank
ADDRESSOF FINANCIAL INSTITUTION
CITY STATE ZIP CODE
.
• 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 YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Karen Gob
Mayor
2024
Nonpartisan
Partisan
listpolitica party below)
Nonpartisan
Partisan
(list political party below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN DIDATE(S)NAM E-OR-MEASURE(S)-FULLTITLE(INCLUDEBALLO-T-NQ_OR_LETTER) --—CANDIDATE(S)OFFICE-SOUGHTORHELD OR MEASURE(S)JURISDICTION-
--------- - - --- ---
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECKONE
ISUPPORT OPPOSE
I I I SUPPORT I OPPOSE
FPPC Form 410 (October/2023)
FPPC Advice: advice6Bfaac.ca.eov_(866/275-3772)
www.faac.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
page 3
COMMITTEE NAME I.D. NUMBER
Karen Goh for Mayor 2024 11423226
General Purpose • 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
Sponsored Committee., List additional sponsors on an attachment.
NAME OF SPONSOR IINDUSTRYGROUP OR AFFILIATION OFSPONSOR
STREETADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
• 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
--T-his_committee-has_filed-allcampaign_stateme-n-tsrequit�dby-the=P_olititaLRefnrm=Act=disclosingallsmp-ortabLeiransactions -
— 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 (October/2023)
FPPC Advice: advice@fopc.ca.eov (866/275-3772)
www.fi)pc.ca.gov