HomeMy WebLinkAboutRIVERA 410 12/1/17Statement of Organization
Recipient Committee
Statement Type i] Initial ❑ Amendment i] Termination — See Part 5
Not yet qualified l] or List I.D. number. List l D. number
If #
Date qualified as Committee Data qualified ascommiRee Date ofTennination
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1. Committee Information
NAME OF COMMITTEE
Rivera for City Council 2018
STREET ADDRESS (NO PO. BOX)
CITY STATE ZIPCODE AREACODEIPHONE
MAILING ADDRESS (IF DIFFERENT)
FAX I E -MAIL ADDRESS
(
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Sacramento County City of Bakersfield
Attach additional information on appropriately labeled continuation sheets.
3. Verification
I have used all reasonable diligence in I
penalty of perjury u der the laws of the
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By
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Treasurer and Other Principal Officers
NAME OF TREASURER
Shawnda Deane
STREET ADDRESS (NO P.O. BOX)
CITY STATE DECODE AREACODOPHONE
NAME OF ASSISTANT TREASURER, IF ANY
Willie Rivera
STREET ADDRESS (NO P.O. BOX)
STATE ZIPCODE AREA CODEIPHONE
NAME OF PRINCIPAL OFFICERS)
STREET ADDRESS (NO P O. BOX)
CITY STATE ZIPCODE AREACODE /PHONE
rf—and I the best of my knowledge the information contained herein is true and complete. I certify under
the fore 6A7a is true and correct.
By SIGNWURE OF CONTROLLING OFFICEHOLDER, CANDIOWE OR STATE MEASURE PROPONENT
IY SIGNRURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT
FPPC Form 410 (JaM2016)
FPPC Advice: advicelkfppe.ea.gov (8662753772)
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2 of 3
Rivera for City Council 2018
All committees must list the financial institution where the campaign bank account is located.
First Foundation Bank
ADDRESS
515006962
1601 Response Road, Suite 190
4. Type of Committee complete the applicable sections.
• List the name of each controlling officeholder, candidate, or state measure proponent. Ifcandidale orofficeholder 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 commit tee, list the name and identification number of the other Controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANOIOWE/OFFICEHOLOER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Willie Rivera
Icity Council Member Ward 1: City of Bakersfield
201e
[D NOnpansan
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Nonpartisan
WIPYIt�WYY'Yy/YYYf{ iii Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(B)NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO OR LETTER) CANDIDATE(S) OFFICE SOUGHTOR HELDOR MEASURE(s) JURISDICTION
(INCLUDE OISTRIOTNO., CITY OR COUNTY, As APPLICABLE)
FPPC Farm 410 (Jan12016)
www.nefflle.cam
e FPPC Advice: ativice@IpPC.w.gov (8661275 -3772)
www.fppc.csJgov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3 of 3
Rivera for City Council 2016
4. Type of Committee (Continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑CITY Committee ❑ 00I1mYCommittee ❑STATECommittee
List additional sponsors on an attachment.
❑ ��
Datecualiatt
5.Termination Requirements By signing the verfication, the treasurer, assistant treasurer ands Candidate, officeWder, 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 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(Jan /2016)
www.neHile.com FPPC Advice: advice@fppc.ca.gov (86612753772)
wi wfppc.cz.gov