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Home My WebLink AboutKERN CITIZENS FOR PATIENT RIGHTS 410 AMEND 02/02/18f - Statement of Organization Recipient Committee Statement Type 0 Imus, 0 Amendment Q Not yet qualifted or Q Date qualified as committee ��— Data qualified as committee 1340602 NAME DF..., KERN CITIZENS FOR PATIENT RIGHTS D Termination -See Pak6, —// Date of termination MAINNS ADDRESS IIF DIFFEREXn Dm' sump LAWRENCE R HIESTAND RTREE r A..1. 1. Ro.ROR1 NAME OF AMPANT TREAMIM, IF ANY MEET ADORFss(NO M. NOR EMAIL ADORERS (REQUIRED) t FAR IOFmONAu Em MET al.M AREAMOMEONE COuntto1 w.L1 AFFIDECTION wNGE COMMITTEE n ACTIVE NAME OF FORMAL OFFXEMs) KERN JEFFREY G JARVIS ZOE 1..RE. 1. VA. 9WI venncaoon I have used all reasonable diligence in preparing this statement and to the best of my kni penalty of perjury under the laws of the State of California that the egotis true and Enoptedon 1/30/2018 Wre BY «B�i Executed On By v WEE ATUREOF[OHIROLIINGOifICEMOWFIRGXOIWE,ORSERtE MFASUREIROPDXEXi Executed On By DATE NOMINEE OF WXTROLLIXG OFFICEHOLDER, CAMWWTE, OR STATE MEAFURE PROMNLNT Executed on By WEE MGWTURE OF CONTROLLING OnIaNOLDER. GNOIDATE. OR SOME ANWINE PROPONENT FPPC Fenn 410(00o1ber/2017) FPPC Advice: advice@(pPc.ca.gov (866/275-3772) www1ppc.ca.gov f - Statement of Organization Recipient Committee Statement Type ❑Initial O Not yet qualified or Q Dale qualified as commie.. KERN CITIZENS FOR PATIENT RIGHTS Do"', 0 Amendment ❑ Termination — See Part5 Date qualified as comrNeee Date of termination 1340602 LAWRENCE R HIESTAND STREET ADDREss mo Ro. FOR) SAEET.Toor" Ix0 eO.Bo%I my rnr STATE 311.1E AREAMOEIMNE Ate LINDA G JARVIS STREET ADDRESS (NO 1.0. Are ra. .1 Flora AREA.DW... I Atioch additional information on appropriately labeled continuation sheets. 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. 1 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed. 1/30/2018 IN, Executed on Ell, RATE ...URE.1Ean..XG ORNFXOWE0. CANPoWTE ON SATE... 1.VONEXT EM[uted On By OATS SIGNATURE 0F.NTNOLUNG OFFIRIpmE R. QNMWTE, OR STATE MFARUK PROPoM ENT Exia uteri on By NGXANRE OF m..or...1 XLF MOLOE.. EA.Rwo.OR STATE ME4ME II...EAT FPPC Form 430 (October/2017( FPPC Advice: advicefgafppc.a.gov (866/275-3772( www.fppc.a.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME NIA '"Fe's KERN CITIZENS FOR PATIENT RIGHTS aasE 1340602 SYiCMi I CP405E • All Committees must list the financial institution where the campaign bank account is located. NAME OF mUNCMLINsmulgN Ax4FAMP"ONE MxxaCCOum xYMaM WELLS FARGO BANK nooREss FOY STATE nP UDDE • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder Controlled, also list the elective office soughtor 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" Stating "No party preference" is acceptable. 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 YEAR OF PARTY NAME OF CANDIDATE/OFFD:EHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECKOR NIA Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANOIDATn51 NAME OR MEASUREBI FULL TITLE (INCLUDE BALUTT NO. OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASUREIS)JURISDICTION AU, �I NIA vPOar aasE SYiCMi I CP405E FPPC Form 410 October/2017) Clear Pae Print FPPC Advice:advice@fppc.ca.gev (866/275-3772) g www.fppc...gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE KERN CITIZENS FOR PATIENT RIGHTS 11340602 Not formed to support or oppose specific candidates or measures in a single election. Check only one box: Ica CITYCommittee ❑COUNTY Committee ❑STATE Committee[] political Party/Central Committee FORMED TO SUPPORT MEASURES FOR PATIENT RIGHTS AND OPPOSE THOSE THAT ARE NOT FOR PATIENT RIGHTS. List additional sponsors on an attachment. /—_ 5. Termination Requirements ev, sr , Ourersrano;, mon,a,rr,, aA,Wra tr ,arid/or Lariadate, orFrehold r, or p. ,sari cortif,that al or hofell mo s nater, I, a,, b,,a an, • This committee has ceased m 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 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 maybe 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. Clear Pae Print FPPCFnrm410(ORober/201]) FPPC Advice: advice1Dfppcca.gov(866/275-3722) www.fppc.ca.gov