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HomeMy WebLinkAboutMAGGARD 410 07/02 tatement of Organization Recipient Committee Statement Type [] Initial Not yet qualified [] or Date qualified as committee Type or print in ink [] Amendment List I.D. number: 05/25/2001 Date qualified as committee (if applicable) [] Termination - See Part 5 List I.D number: # 1235722 Date of Termination Committee Information NAME OF COMMIttEE MIKE MAGGARD FOR ST ATE ASSEMBLY STREET ADDRESS (NO P O BOX) 5001 E. COMMERCENTER DRIVE STE 350 CITY STATE ZIP CODE AREA CODE/PHONE BAKERSFIELD CA 93309 661-631-1171 MAILINGADDRESS IF DIFFERENT) P.O. BOX 111~1 BAKERSFIELD CA 93389 OPTIONAL: FAX/E-MAIL ADDRESS 661-631-0244 TATEMENT OF ORGANIZATION Date Stamp CALIFORNIA,~ ~ FORM ~'~/ 0 For Official Use only 02 JilL 31 pp, I~: 53 ~KEF~SFiE[ D CITY CLER~, 1/3 2. Treasurer and Other Principal Officers COUNTY OF DOMICtLE KERN COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE At~ach additional information on appropriately labeled continuation sheets. NAME OF TREASURER GEOFFREY B. KING STREET ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY RONALD O. DILL STREET ADDRESS CITY STATE ZiP CODE AREA CODE/PHONE NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE MAILING ADDRESS STATE AREA COD~PHONE Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained of perjury under the laws of the State of California that the foregoing is true and correct. GEOFFREY B. KING '~ DATE 06/30/2002 By DATE Executed on By DATE under MiKE SIGNATURE OF CONTROLLINC SIGNATURE OF CONTROLLING OFFICEHOLDER, SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Jan/01) FPPC Toll-Free Heipline: 8661ASK-FPPC STATEMENT OF ORGANIZATION Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE NUMBER COMMITTEE NAME MIKE MAGGARD F©R ST ATE ASSEMBLY 1235722 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 part3~ with which each officeholder or candidate is affihated or check non-part,sa . · 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 IDE DiSTRiCT NUMBER if APPLICABLE) YEAR OF ELECTION PARTY · List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) NAME OF FINANCIAL INSTITUTION SAN JOAQUIN BANK ADDRESS Primarily Formed Committee ] Primarily formed to support or oppose speciic candidates or measures in a single election. List be[ow CANDIDATE(S) OFFICE SOUGHT OR HELD ORMEASURE(S) JURISDICTION qCLUDING DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE CANDIDATE(S) NAME OR MEASURE(S) FULL TI TLE (INCLUDE BALLOT NO. Of{ L~-I I Eh;) U'~'L~'~ ...................... SUPPORT OPPOSE Ballot: District: SUPPORT OPPOSE Ballot: District: FPPC Fom~ 410 (Jard01) FPPC Tol~-Free Heipllne: 8661ASK-FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE STATEMENT OF ORGANIZATION 3/3 I.D. NUMBER COMMI~-EE NAME MIKE MAGGARD FOR STATE ASSEMBLY 1235722 4. Type of Committee (Continued) Not formed to support or oppose speciic candidates or measures in a single election. Check onlyone box: I ~rtel~al!~'~~ ~l [] CiTYCommittee [] COUNTY Committee [] STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Sponsored Committee 1 List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFiLIATiON OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE Date qualified Check box and provide the date this committee qualified as a small contributor committee, if the committee qualified as a small contributor committee on January 1, 2001, enter 1/1/01. 5. Termination Requirements By sigining the verification, the treasurer, assistant treasurer and/or candidate, of ficeholder, or p~oponent certify that atl of the following conditions hay e been met: · This committee has ceased to receive contributions and make expenditures; · This committee does not anticipate receiving contributions or making expenditure 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. -- Add tional filing obligations will be incurred if, after terminating, the committee receives or spends any funds, or receives the forgiveness of a loan, repayments of loans made to others, or any other rece pts. FPPC Form 410 (Jan/01) FPPC Toll-Free Helpline:866/A~K-FPPC