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HomeMy WebLinkAboutFirefighters for Balanced Budgets 410Statement of Organization Recipient Committee /33/(0-1* Type or print in ink ANN h,: A MNt l i A ERN COWIT EUCf(c06 E in Statement Type 0 Initial Amendment Not yet qualified 0 or List I.D. number. l_J _J_J Date qualified as committee Date qualified as committee (tf applicable) El Y ermination - See Part 5 IAIfal' r1 AM 11: 20 # F R C€. G: Date of Termination 1. Committee Information NAME OF COMMITTEE Firefighters for Balanced Budgets and a Safe Bakersfield STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE ( MAILING ADDRESS (IF DIFFERENT) OPTIONAL: FAX / E-MAIL ADDRESS ( COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE Kern County Attach additional information on appropriately labeled continuation sheets office of the Secretary of S of the State of California SEP 14 2010 nd Delivered, Sacramento a Bowen, Secretary of Sta 2. Treasurer and Other Principal Officers STATEMENT OF ORGANIZATION FORM 410 Lll) U U'v i UsVnl('1 12• 1 NAME OF TREASURER Shawnda Deane STREET ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANTTREASURER, IF ANY STREET ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE Bill Macauley MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE ( 3. Verification I have used all reasonable diligence in preparing this statement and to a be knowledge the inform ation:cont 'ned herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is tr e d corre Executed on 1 J DATE SIGNATU OF TREASURER OR ASRIRTAN FACI IRFR Executed on DATE Executed on - Executed on www.netrile.com DATE DATE IN SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT E SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT 6y SIGNATURE OF NTROLUN FFICEHOLDER, CAND DATE, OR STATE MEASURE PROPONENT FPPC Form 410 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Firefighters for Balanced Budgets and a Safe Bakersfield I.D. NUMBE 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 party with which each officeholder or candidate is affiliated or check "non-partisan." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDFYE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY NAME OF FINANCIAL INSTITUTION ADDRESS AREA CODE/PHONE CITY NUMBER STATE ZIP CODE EME= Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE OPPOSE FPPC Form 410 (June/09) www.netrile.com FPPC Toll-Free Helpline: 866/ASK-FPPC • List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Firefighters for Balanced Budgets and a Safe Bakersfield I.D. OF 4. Type of Committee (Continued) ' ' • Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑x CITY Committee ❑ COUN1YCommittee p STATECommittee PROVIDE BRIEF DESCRIPTION OF ACTIVITY support & oppose local Bakersfield caniddates & measures • ' ' • List additional sponsors on an attachment. Bakersfield City Firefighters, IAFF Local 246 Y GROUP OR AFFILIATION OF SPONSOR Firefighters -I - CITY STATE ZIP CODE ❑ Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a small Date qualified contributor committee on January 1, 2001, enter 1/1/01. 5.Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all ofthe 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 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. Additional 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 receipts. FPPC Form 410 (June/09) www.netfile.com FPPC Toll-Free Helpline: 866/ASK-FPPC