HomeMy WebLinkAboutSMITH 410 AMEND 7/23/14�6-
Statement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
® Amendment
List I.D. number:
#1348552
Date Stamp
❑ Termination — See Part 5 RECEIVED AND FILED a FOfficial Use Only '
21fV.AWv ;6 PM 11= 41 in the Ace of the Secretary of state 4 PM 3.25
of the State of Califomia
8A t t LLKr,
Dat�ifle� mmlttee Date qualified s committee � r Date of Termination
(If applicable)
)rmation --- - ----i
2. Treasurer and
NAME OF COMMITTEE NAME OF TREASURER
BOB SMITH FOR CITY COUNCIL 2014
STREETADDRESS IND P.O. BOX)
MAILING ADDRESS IIF DIFFERENT)
FAX / E -MAIL ADDRESS
COUNTY OF DOMICILE t JURISDICTION WHERE COMMITTEE IS ACTIVL
Attach additional information on appropriately labeled continuation sheets.
STREET ADDRESS (NO P.O. BOX)
JUL 2 8 2014 I KERN COUNTY ELECTIONS
er Principal Officers
CITY -
STATE ZIP CODE AREA CODE /PHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICERS)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA LODE /PHONE
3. Verification
I have used all reasonable diligence in p rill this st ment an the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury u er th laws of th State of I' r�ia that re5ging is true and correct.
�/
Executed on / / By
GATE (� /� IGNATURE OF 1 ASSiSTANTTREASURER
Executed on L___� By
DATE SIG NATU RE OF CO NTRO LU NG OFFIfEHO LDER, CAND I DATE, OR STATE MEASURE PRO PONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Dec/2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
r
Statement of Organization CALIFORNIA
Recipient Committee
FORM I
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
BOB SMITH FOR CITY COUNCIL 2014
1348552
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
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 "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
BOB SMITH
BAKERSFIELD CITY COUNCIL WARD 4
2014
® Nonpartisan
SUM
❑ Nonpartisan
/y Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE
CANDIDATES) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
rHFrw nNF
FPPC Form 410 (Dec/2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
SUPPORT
1:1
OPPOSE
El
SUM
Oppu5i
FPPC Form 410 (Dec/2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov