HomeMy WebLinkAboutCAMPBELL 410 INITIAL 05/08/13Statement of Organization
Recipient Committee
Statement Type ® Initial ❑ Amendment
Not yet quaff ❑ or List I.D. number:
❑ Termination — See Part 5
List I.D. number:
04 122 2013 04 122 2013 _ 1 1
Data qualified as Committee Date qualified as committee Date of Termination
(if apvkabk)
Committee to Elect Stephanie Campbell for City Council 2013
STREET ADDRESS IND P.O. BOX)
MAILING ADDRESS (IF DIFFERENT)
Same
FAX / E-MAIL ADDRESS
IS ACTIVE
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in p �erlffg
penalty of perjury under the laws of a State of
Executed on By
DATE C
Executed on By N.0
DATE
statement and
is
NAME OF TREASURER
Rachelle Hill
Date Stamp
! MAY -8 PM 4: 04
Fw Ofl W USe Only
STREET ADDRESS (NO P.O. BOX)
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE /PHONE
OR
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
By
herein is true
under
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Dec/2012)
FPPC Advice: advke@fppc.ca.gov (866/275 -3772)
www.fppLca.gov
Instructions for
Statement of Organization
Statement Type:
Initial
The "date qualified" as a committee is the date that the
committee received contributions totaling $1,000 or
more during a calendar year.
Amendment
If any of the information reported on an initial
statement of organization changes:
• Mark the amendment box;
• Include the committee's ID number and name;
• Provide the changed information; and
• Complete the verification.
Candidates:
Under certain circumstances, a candidate for local office
may amend the Form 410 to indicate that he or she is
seeking another term of the same office (re- election).
A candidate for state office must open a separate
committee for each term of office and may not amend
the Form 410 to redesignate an election committee.
Termination
List the committee's identification number and indicate
the date of termination.
1. Committee Information:
Provide the full name of the committee. A committee
may use only one name.
The committee's street address must be reported. A
post office box is not acceptable. The committee's
mailing address must also be reported if it is different
from the committee's street address. A post office box
is acceptable for the mailing address. A committee's
"domicile" is its address as listed on the Form 410. Los
Angeles is the county of domicile for committees located
outside California.
Identify the jurisdiction where the committee is active.
For example a city committee lists the name of the city.
Committee Name Requirements
The following committee name rules apply to the Form
410, the committee's campaign statements and to any
other references to the committee required by law. See
the instructions for Part 4 for committee definitions.
Candidate Controlled Committees (including ballot
measure committees): Any committee that is
controlled by a state or local candidate or officeholder
must include the last name of the candidate in the name
of the committee. In addition, the following rules also
apply:
• An election committee controlled by one or more
state or local candidates must also include the
office the candidate(s) is seeking and the year of the
election (e.g., Friends of Smith for Assembly 20XX,
!ones for Council 20XX).
• An officeholder committee set up by a state
officeholder must also include the office held, the
year the officeholder was elected to the current term
of office, and the words "Officeholder Account,"
as part of the committee name (e.g., Anderson
Assembly 20XX Officeholder Account).
• A legal defense fund set up by a state or local
candidate or officeholder must also include the
words "Legal Defense Fund" as part of the committee
name (e.g., Senator Smith Legal Defense Fund).
• A ballot measure committee controlled by one or
more state candidates must also state that it is a
ballot measure committee (e.g., Senator Lee's Ballot
Measure Committee). See additional requirements
for primarily formed committees.
Sponsored Committees: A sponsored committee
(including most political action committees) must
include the full name of its sponsor in the name of
the committee. If the committee has more than one
sponsor and the sponsors are members of an industry or
other identifiable group, include a term identifying that
industry or group.
Primarily Formed Committees
Ballot Measures: The name of each committee
primarily formed to support or oppose a ballot measure
must include:
• A statement identifying the ballot measure(s)
number or letter and whether it supports or opposes
the measure(s) (e.g., Committee For Proposition/
Measure _ or Committee Against Proposition/
Measure D.
The name must include the economic or other
special interests of its major donors of $50,000
or more, in descending order based on the
amount contributed to the committee. The list
of these economic or special interests may not be
interspersed with constituencies such as "concerned
citizens, or consumers."
• The name of any state or local candidate that
contributes $50,000 or more.
• Prior to the designation of the ballot measure
number, a primarily formed ballot measure
committee controlled by a state candidate must
also state that it is a ballot measure committee (e.g.,
Senator Gomez's Ballot Measure Committee).
Recalls: Each committee established for a recall
election must include the name of the officeholder
subject to the recall. If the committee is not controlled
by the officeholder, the committee must state its
support or opposition (e.g., Committee Opposing the
Recall of Council Member Doe).
Supporting or Opposing a Candidate: The name of
each committee primarily formed to support or oppose
a state or local candidate(s) being voted on in a single
election, other than a recall election, must include the
name of each candidate, the office sought, the year of
the election and must state whether the committee
supports or opposes the candidate(s) (e.g., Committee
to Support Doe for Senate 20XX).
FPPC Form 410 (Dec/2012)
FPPC Advice: adviceL*fppc ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Pa{• 2
COMMITTEE NAME I.D. NUMBER
Committee to Elect Stephanie Campbell for City Council 2013
• All committees must list the financial institution where the campaign bank account is kxated.
NAME OF FINANCIAL INSTITUTION
Bank of America
ADDRESS
AREA CODE/PHONE
(
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"
• 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
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Stephanie Campbell
Bakersfield City Council Ward 1
2013
® Nonpartisan
S UFFQU
❑ Nonpartisan
. Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
DNCI tinF DISTRICT NO.. CITY OR COUNTY. AS APPLICABLE)
CHECK ONE
Stephanie Campbell
Bakersfield City Council Ward 1 2013
SUPPORT
❑✓
OPPOSE
❑
S UFFQU
In-
FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc ca.gov (866/275 -3772)
www.fppc.ca.gov
Instructions for
Statement of Organization
2. Treasurer and Other Principal Officers:
The committee may have only one treasurer and one
assistant treasurer. A candidate may be his or her own
treasurer or assistant treasurer. A committee may not
accept a contribution or make an expenditure without
a treasurer.
A committee that is not controlled by a candidate or
officeholder must disclose the name, street address,
and telephone number of the committee's principal
officer(s). The principal officer(s) of a committee are
the individual(s) primarily responsible for approving the
political activity of the committee, including authorizing
the content of committee communications, authorizing
the committee's contributions and other expenditures,
and determining the committee's campaign strategy. If
more than three individuals qualify as principal officers
of the committee, identify no fewer than three. If no
individual other than the committee treasurer qualifies
as a principal officer, identify that individual as both the
treasurer and the principal officer. An attachment may
be necessary.
3. Verification:
The committee treasurer or assistant treasurer must
sign the Form 410. Also, each controlling officeholder,
candidate or state ballot measure proponent must
sign the Form 410. If more than three control the
committee, one of them may sign on behalf of all
controlling individuals. If a candidate will serve as
his or her own treasurer, he or she must sign as the
candidate and again as the treasurer.
New Requirements
• List the name and address of the financial
institution where the campaign bank account is
located and the bank account number.
If a committee has more than one bank account,
only one account must be listed.
If a campaign bank account is not open at the time
of filing an initial Form 410, amend the Form 410
within 10 days of opening the bank account.
• State Ballot Measures: Qualification ID number
Certain committees must list in Section 4, Primarily
Formed Committee, the Attorney General's Office
assigned identification number to a proposed state
ballot measure:
• A committee submitting the title and summary;
• A committee primarily formed for the measure;
or
• A committee that spends $100,000 or more on
petition circulation for the measure.
4. Type of Committee:
Controlled Committee
A "controlled committee" is one which is controlled
directly or indirectly by an officeholder, candidate, or
state measure proponent, or which acts jointly with
an officeholder, candidate, state measure proponent,
or another controlled committee in connection with
making expenditures.
A committee is controlled if the officeholder, candidate,
or proponent, his /her agent, or any other committee
he /she controls, has a significant influence on the
actions or decisions of the committee.
"Proponents" of state measures are persons who
request the Attorney General to prepare a title and
summary of a state initiative, referendum, or measure.
• Candidate Election Committee: Identify the
candidate's name, office, election year and party, if
applicable.
• Ballot Measure Committee Controlled by State
Candidate: Identify each measure on which the
committee has spent or anticipates spending
$50,000 or more in the current two -year period,
beginning with January 1 of an odd - numbered year.
If the ballot designation has not been assigned,
describe the purpose of the anticipated measure(s).
Amend the Form 410 when a ballot designation is
assigned. Provide this information in the primarily
formed or general purpose section or on an
attachment.
Legal Defense Committee: On an attachment,
describe the specific legal dispute or disputes for
which the legal defense fund was established. The
Form 410 must be amended within 10 days when
legal disputes are either resolved or new disputes
are initiated.
Primarily Formed Committee
A committee is "primarily formed" when it makes
or initially plans to make more than 70% of its
contributions and expenditures to support or oppose a
specific candidate or measure, or a group of measures
or specific local candidates all being voted upon in
the same election on the same date. (FPPC Regulation
18247.5)
New committees: A new committee formed within
six months of a statewide regular election or within
30 days of a state special election is presumed to be
primarily formed if the committee makes at least
$25,000 in independent expenditures to support or
oppose a state candidate or measure. Monthly review
is required for other new committees that spend at
least $1,000 a month and were formed within six
months of an election in connection with which the
committee makes contributions or expenditures.
Quarterly review at the end of March, June, September
and December is required for other committees.
A committee controlled by a candidate for his or her
own candidacy is not a primarily formed committee.
Recall Committees: A committee supporting or
opposing a recall must list the committee measure's
title, and the officeholder's name and office. A recall
committee will mark whether it supports or opposes
the officeholder.
FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
..
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE Popp 3
Committee to Elect Stephanie Campbell for City Council 2013
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
STREET ADDRESS NO. AND STREET
Date qua~
CITY
NOUSTRY GROUP OR AFFILIATION OF SPONSOR
• This committee has ceased to receive contributions and make expenditures;
STATE ZIP CODE
• 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 (Dec/2012)
FPPC Advice: adv1ce@fppc.ca.90v (866/275 -3772)
www.fppc.ca.gov
Instructions for
Statement of Organization
General Purpose Committee
A committee is a "general purpose committee" if its
principal activity is supporting or opposing a variety of
candidates or measures voted on in different elections.
(FPPC Regulation 18227.5)
• A state committee makes contributions or
expenditures to support or oppose candidates or
measures voted on in state elections, or in more
than one county; it does not make over 70%
of its contributions or expenditures in a single
local jurisdiction. State contributions include
contributions to other state general purpose
committees. All political party committees
(including county central committees) are state
committees.
• A county committee makes more than 70% of its
contributions or expenditures to support or oppose
candidates or measures voted on in a single county,
or in more than one jurisdiction within one county.
This includes contributions to other general purpose
committees in the same county.
• A city committee makes more than 70% of its
contributions or expenditures to support or oppose
candidates or measures voted on in a single city,
or in one consolidated city and county. This
includes contributions to other city general purpose
committees in the same city.
A city or county committee may make up to four
contributions in a calendar year to candidates for
elective state office whose districts are within the same
jurisdiction and is not required to change status as a
state committee.
A committee that has made contributions or
expenditures of $5,000 or more during a quarter
must review its activity at the end of March,
June, September and December to determine if
the committee is filing reports in the appropriate
jurisdiction. During the first six months, a new
committee must check its jurisdictional status each
month the committee makes expenditures of $1,000
or more. If a change of filing locations occurs, reports
must be filed in both the new and old jurisdiction
through the calendar year.
After marking the appropriate state, county or city box,
provide a brief description of the committee's political
activities such as whether it supports candidates or
measures that share a common political affiliation.
Sponsored Committee
A "sponsored committee" is a general purpose
or primarily formed committee, other than an
officeholder or candidate controlled committee, that
has one or more sponsors.
An organization, business, or other entity is a sponsor if
one or more of the following apply:
• The committee receives 80% or more of its
contributions from the entity or organization or its
members, officers, employees, or shareholders.
• The entity or organization collects contributions for
the committee by use of payroll deductions or dues
from its members, officers or employees.
• The entity or organization, alone or in combination
with other entities or organizations, provides all
or nearly all of the administrative services for the
committee.
• The entity or organization, alone or in combination
with other entities or organizations, sets the
policies for contribution solicitations or payment of
expenditures from committee funds.
See the instructions for Part 1 for a sponsored
committee's name requirements.
Small Contributor Committee
A "small contributor committee" is one that has
been in existence for more than six months; receives
contributions from 100 or more persons; makes
contributions to five or more candidates; and has
not received more than $200 from one person in a
calendar year.
S. Termination Requirements
Recipient committees may only terminate when:
• They have ceased to receive contributions and make
expenditures; and
• They do not anticipate receiving contributions,
repayments of outstanding loans made to others,
or any other receipts in the future, and they do not
anticipate making expenditures in the future; and
• They have eliminated or have no intention or ability
to discharge all their debts, loans received, and
other obligations; and
• They have no funds; and
• They have filed all required campaign statements
disclosing all reportable transactions, including
disposition of funds.
State Candidates: There are mandatory termination
deadlines applicable to your committees.
How to Terminate
State Committees: Complete page one of the Form
410 and mark the termination box. Send the Form and
last Form 4S0 or 460 (mark the termination box) to the
Secretary of State.
Local Committees: Complete page one of the Form
410, mark the termination box and send the Form to
the Secretary of State. Send a copy of the Form 410
and last Form 450 or 460 (mark the termination box) to
your city or county filing officer.
FPPC Form 410 (Dec /2012)
FPPC Advice: advice@fppc.ca•Bov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
When to File
File this form within 10 days of receiving $1,000 in
contributions. Include a $50 payment made payable to
the Secretary of State. Thereafter, the $50 fee is due
annually no later than January 15. In addition to the
$50 fee, a penalty of $150 may be assessed if payment
is late.
For early submissions, mark the "not yet qualified"
box. The $50 fee is requested at this time but is
not legally required until the group qualifies as a
committee.
The committee's FPPC ID number will be posted at
www.sos.ca.gov. Read instructions carefully as a Form
410 will be rejected if all applicable sections are not
completed. All committees must now disclose the
financial institution and bank account number used by
the committee.
Where to File
All Committees: Original
Secretary of State
Political Reform Division
150011th Street, Rm 495
Sacramento, CA 95814
County & City
Committees: Also file a copy with
local filing officer who will receive
the original campaign statements
Amendments
When information contained in the committee's
Statement of Organization changes, file an amendment
within 10 days of the change with the Secretary of
State and local filing officer (if applicable). During the
period 16 days before an election, file an amendment
within 24 hours as described below.
24 -Hour Reporting
In addition to the 10 day rule to file an original
Form 410:
• a recipient committee that qualifies during the 16
days prior to an election in which it must file pre-
election statements must file a Form 410 within
24 hours of qualification with the filing officer who
will receive the committee's original disclosure
statements.
a recipient committee that qualifies during the
90 days prior to an election in which the committee
makes independent expenditures of $1,000 or
more to support or oppose a candidate in that
election must file the Form 410 within 24 hours of
qualification with the filing officer who will receive
the committee's original disclosure statements
and with the filing officer(s) for the candidate(s)
supported or opposed by the independent
expenditure.
if, during the 16 days prior to an election when
a committee is required to file pre - election
statements, a change occurs in the name of the
committee, the treasurer or other principal officers,
or the controlling candidate, an amendment
must be filed with the filing officer receiving the
committee's original campaign statements within
24 hours of the change.
Who Files: Recipient Committees
Persons (including an officeholder or candidate),
organizations, groups, or other entities that raise
contributions from others totaling $1,000 or more
in a calendar year to spend on California elections
qualify as a recipient committee. They must register
with the Secretary of State and report all receipts
and expenditures. "Contributions" include monetary
payments, loans and non - monetary goods and services
received or made for a political purpose.
Existing nonprofit organizations, federal and out -of-
state PACs, and other multipurpose organizations that
receive contributions from others and make occasional
expenditures in California elections must also register
as a recipient committee with the Secretary of State.
They must report the amount of their expenditures on
California candidates or ballot measures and disclose
the sources of those funds. (FPPC Reg. 18215.)
Candidates: The personal funds of a candidate or
officeholder used to seek or hold elective office
are contributions and count toward qualifying as a
recipient committee. However, personal funds used to
pay a candidate filing fee or a fee for the statement of
qualifications to appear in the ballot pamphlet do not
count toward the $1,000 threshold.
These filings must be made by fax, guaranteed
overnight delivery, personal delivery or online (if online
filing is available.)
This form was prepared by the Fair Political Practices
Commission (FPPC). For detailed information on
campaign reporting requirements and the Information
Practices Act of 1977, see the FPPC Camoai¢n
Disclosure Manual.
FPPC Form 410(Dec/2012)
FPPC Advice: advice @fppc.ca.Bov (866/275 -3772)
www.fppc.ca.gov