HomeMy WebLinkAboutTKAC 410 AMEND 08/18/16Sfatement
Recipient
of Organization
Committee
R
RECEIVED
Date Stamp
CEIVED AND FILE D
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Statement Type ❑Initial
Amendment
�np l� n'�/q�lerl
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of the State of Callemla
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Not yet qualified ❑ or
List I.D. numoer:
L13t N'Hufitl�r:
18 2016
IP ,7r 22
# 1381683
AUG
2016
Datequalifletlasmmmittee
Datequalfiedasmmmidee
Date ofTDmnirpdon
ma ovelei
1.
NAME OF COMMITTEE
Jeff Tkac for City Council 2016
MAILING ADDRESS (IF DIFFERENT)
Attach additional information on appropriately labeled continuation sheets.
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Eve[Ce Bakke
STREET ADDRESS (NO P.O. BOX)
NAME OF ASSISTANTTREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
NAME OF PRINCIPAL OFFICER(S)
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
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 perjury under the laws of the State of Cali!Z that the foregoing is true and Correct.
EfReA 8d On 8/16/2016 Ey
DATE `. EOF TREASURER OR ASSISTANT TREASURER
EXecvteel On 8/16/2016 i r^� By
DATE R al ne emuren a invo rn.oin,nv ne co"v uu�ux mn.....�.,�
EXeedleden Bi' S!
DATE SIGNAI OF CONTROWNG OFFIGE1pLOER, CANDIDATE, OR STATE MEASURE PROPONENT
Ececutedon
DATE SIGNOB RE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
www.eetfthk m FPPC Form 410 (JarJ2016)
FPPC Advice: advice@fppe.ce.gov(86 &275 -3772)
wwwJppc.cp.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
for Citv Council 2016
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREACODEIPHONE nn nwwni numorn
Bank of the Sierra
ADDRESS CITY STATE ZIP CODE
4. Type of Committee Complete me applicable sections.
Page 2 of 3
• List the name of each Controlling officeholder, candidate, or stale 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, l ist the name and identification number of the other Controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OFCANDIDMEIOFFICEHOLDERISTATE MEASURE PROPONENT INCLUDE DISTRICT NUMBER IFAPPLICABLEI YEAR OF ELECTION PARTY
Primarily formed to support oroppose specific candidates or measures in a single election. Ustbelow:
CANDIDATE(S) NAME OR MEASURE(5)FULL TITLE INCLUDE BALLOT NO. OR LETTER) CANDIDATE(s) OFFICE SOUGHTOR HELDOR MEASUREIS )JURISDICTION
( ) ( (INCLUDE DISTRICT NO.. CITY OR COUNTY, AS APPLICABLE)
FPPC Form 410 (JaN2016)
www.neffile.com FPPC Advice: advicescitffppc.ca.gov (66612715-3772)
www.f"If.ca.gov,
city council Member: city of Bakersfield
Q Nonpartisan
Jeff Tkac
Dis¢ic[ 5
2016
❑ Nonpartisan
Primarily formed to support oroppose specific candidates or measures in a single election. Ustbelow:
CANDIDATE(S) NAME OR MEASURE(5)FULL TITLE INCLUDE BALLOT NO. OR LETTER) CANDIDATE(s) OFFICE SOUGHTOR HELDOR MEASUREIS )JURISDICTION
( ) ( (INCLUDE DISTRICT NO.. CITY OR COUNTY, AS APPLICABLE)
FPPC Form 410 (JaN2016)
www.neffile.com FPPC Advice: advicescitffppc.ca.gov (66612715-3772)
www.f"If.ca.gov,
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Jeff Tkac for Cicy Council 2016
4. Type of Committee (Conned)
Not formed to support oroppose specific candidates or measures in a single election. Checkonlyonebox:
❑ CITYCommdtee ❑ COUNTYCommittee ❑ STATECommiltee
Listadditionalsponsorsonanattachm ent.
SPONSOR
Page 3 of 3
1.387683
❑ ��
Date qualified
5.Termination Requirements By signing me Verification, the treasurer, assistant treasurer andki ,candidate, officeholder, orproporaUt certify theist of the following conditions have been met:
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
This committee has fled 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 (JaN21116)
www.aetfile.com FPPC Advice: adviceilgfppc.ca.gov (8661
www.fppc.ca.gov
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