HomeMy WebLinkAboutCOUCH SO 410 tatement of Organization
Recipient Committee
Amendment
[] Check box if an Amendment
and enter LD. number:
INSTRUCTIONS ON REVERSE
File original and one copy with:
Secretary ct State
Political Reform Division
P.O Box 1467
Sacramento, CA 95812-1467
County and City Committees file a copy wi~
Local filing officer who will receive the original
disclosure statements.
Type or print in Ink
1. Committee Information
Da~e qualified as committee 08 / ~0 J ~ [] Not yel qualified
NAME OF COMMIttEE
Friends o[ David Couch
ADDRESS OF COMMITTEE NO AND STREET (NO PO BOX)
7508 Feather River [}rive
c~Ty STATE Z~PCODE ABEACOD~P~ONE NUMBER
Date S{amp
Bakersfield~ CA 93308 (805) 665-8109
COUNt( OF DOMICILE ~ COUNTY WHERE COMMI~Cr EE IS ACTIVE IF Oil-H: RtNT THAN
I
COUNTY OF DOMICILE
Kern Not Auolicable
MAILING ADDRESS {IF DIFFERENT) NO AND STREET OR RD. BOX
Sag~3
CITY STATE ZIP CODE AREA CODE/PHONE NUMBER
OPTIONAL: AREA CODF-/FAX NUMBER OFRONAL: E-MAIL ADDRESS
STATEMENT OF ORG~NIZATIO~q
LI~ 18 AH I0: SO
I~AKE~ SFIELD CiTY CLE~,~
2. Treasurer and Other Principal Officers
NAME OF TREASURER
330 H Street, Suite 2
MAILING ADDRESS
Bakersfield, CA 93304
CITY STATE ZIP CODE
For Olflcial Use Only
(805) 327-9045
NAME AND POStTION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
MAILING ADDRESS
CiTY STATE ZIP CODE AREA CODEA)AYTIME PHONE
OIFTi(~NAL; AREA COOFJFAX NUMBER OPTtONAL.: E-MAIL ADDRESS
Attach additional information on appropriately labeled continuation sheets.
3. Verification
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 penalty of perju~ under the laws of the State ct California that the foregoing. J~y~and~~r/~~.~ ~'
Executed on August 14, 1998 By
Statement of Organization STATEMENT OF ORG/~qlZATION
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
NAME OF COMMITTEE
Friends of David Couch
4. Type of Committee: complete the applicable sections.
LD NUMBER (IF AMENDMENT)
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, il any
· List the political party with which each officeholder or candidate is afliliated An officeholder or candidate not holding or seeking a partisan office must indicale 'non-partisan'
· if this committee acts iointly with anolher conlrolled commiltee, list the name and identification number of the other controlled committee.
· List the disposition of surplus lunds.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
~LECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMSER IF APPLICABLE)
David Couch Bakersfield C~ty CouncilDerson (Ward 4)
DISPOSITION OF SURPLUS FUNDS
Donate to charitable oraani~at~nn
PARTY
Non Patti san
CH~CKONE
Not formed to support or oppose specific candidates or measures ~n a single election. Check only one box: [] CITY Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
[] COUNTY Committee
[] STATE Committee
~ Provide additional sponsors on an attachment,
NAME OF SPONSOR: INDUSTRY GROUP OR AFFILIATION OF SPONSOR;
MAILING ADDRESS: NO. AND STREET CITY STATE ZtP CODE
FPPC Form 410 (2198)
For Technical Asmiltanca: 916/322-5660