HomeMy WebLinkAboutJENKINS FORM 410 TERMStatement of Organization STATEMENTOFORGANIZATION
Recipient Committee Type or print in ink Date Stamp
Statement Type
[] Initial
Not yet qualified [] or
[] Amendment
List I.D. number:
[] Termination - See Part 5
List I.D. number:
I I / I
Date qualified as committee Date qualified as committee
(If applicable)
1. Committee Information
NAME Of COMMFCFEE
Bernita Jenkins for City Council Ward 7
STREET ADDRESS (NO PO. BOX)
MAILING ADDRESS (if DIFFERENT)
OPTIONAL: FAX / E-MAiL ADDRESS
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
COUNTY OF DOMICILE
Kern
Attach additional information on appropriately labeled continuation sheets.
# 1270270 5 ' 3t
01 / 31 / 05
Date of Termination
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Bernita Jenkins
STREET ADDRESS
CITY STATE ZiP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADBRESS
CITY STATE ZIP CODE AREA COBE/PHONE
NAME AND POSITION OF OTHER PRINClF~,L OFFICER(S), IF APPLICABLE
MAILING ADDRESS
CiTY STATE ZIP CODE AREA CODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the my knowledge the information containe y under penalty of
perjury under the lav~s of the State of California that the foregoing is true and correct.. .
~ SIGN~URE O~ONTROLLING OFFICEHOL . ,
Executed on
DATE
SiGN/~URE OF CONTROLLING OFFICEHOLDER, CANDID,~E, OR STATE MEASURE PROPONEN
By
DATE
SIGN,~TURE OF CONTROLLING OFFICEHOLDER. CANDID,~E. OR STATE MEASURE PROPONENT
FPPC Form 410 (Jan/03)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMIgFTEE NAME
Bemita Jenkins for City Council Ward 7
4. Type of Committee Completetheapplicablesections.
STATEMENT OF ORGANIZATION
I.D.NUMBER
1270270
· 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 e~ection.
· List the political party with which each officeholder or candidate is affiliated or check "non-partisan."
· If this committee acts jointly with another controlled committee, list the name and identification number of the other controtled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OE CANDID/~'E/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PAR 79'
[] Non-Partisan
Bernita Jenkins Bakersfield City Council Ward 7 2004
[] Non-Partisan
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Bank of America
ADDRESS CITY STATE
· j,. ~ j~-, ,~ -- Primarilyforrnedtosupportoropposespecificcandidatesormeasuresinasingleelection. Listbelow:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO, OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 4'10 (Jan/03)
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