HomeMy WebLinkAboutKERN 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,
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Date of termination
MAINNS ADDRESS IIF DIFFEREXn
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LAWRENCE R HIESTAND
RTREE r A..1. 1. Ro.ROR1
NAME OF AMPANT TREAMIM, IF ANY
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EMAIL ADORERS (REQUIRED) t FAR IOFmONAu
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AFFIDECTION wNGE COMMITTEE n ACTIVE
NAME OF FORMAL OFFXEMs)
KERN
JEFFREY G JARVIS
ZOE 1..RE. 1. VA. 9WI
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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
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LINDA G JARVIS
STREET ADDRESS (NO 1.0. Are
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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
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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