HomeMy WebLinkAboutKERN CITIZENS FOR PATIENT RIGHTS AMEND 410 02/06/18Statement of Organization DR'R So, '
Recipient Committee
statement T pe RE EIVED AND FaLED • -
Y ❑Initial 0 Amendment L T,prminatign— 'p(N;ruin th otficeofthe secretary F,oma4 UMOnly
Q Not yet qualified
(''otGeMtomta 218 JAN 31 PN 4 0'O Date qlifietl as committee ------ 4---- —/----/ - - JAN 22 2010
Data qualified as committee Date of termination
LD. Number 2. Treasurer and Other Principal Officers
,,T,
, 1340602
KERN CITIZENS FOR PATIENT RIGHTS
STREET AOOPESS INO PO. EOE)
CITY lnnE nP CODE AREACOOE/PIgNE
MARINE ADDRESS OF DIFFERENn
EMAIL ADDRESS IREOUINEIO/FAA rEONAU
OWNTY OFrn
OOMI[ILE ON WNERE COMMITESE 6 AcTIVE
KERN USA
LAWRENCE R. HIESTAND
STREET ADDRESS RIO RO, Roil
Ory STATE ➢Pcon ARDOWEM.ORE
AME OF PMNCIMLOFFI¢Rtn
JEFFREY G. JARVIS
STREET ESS (NO AO. D"
CITY STATE PPCOOE APFADO.IMMNE
Attach additional information on appropriately labeled continuation sheets.
3.: Verification _..I I '
I have used all reasonable diligence in preparing this statement and to the best of my Town he Information contained herein is true and complete. l certify under
penalty of perjury under the laws of the State of California that regoing is true rre
ERecutedon 1/12/2018 By Ec_c�_
DATEiP S nP A558rP EP
becuted On By
ERecuted on By
GATE SIGNATURE OF CONTROLLING OFIN ENOEDEP, GNOIDATE. OR STATE MEASURE MOPONONT
ENecutedon By
DTE N RNRME OE CONTPOLUNGOFFIC ePvI , UNOIMR, ORSTRE MEASURE PROPONENT
FPPC Form 41010ctaber/20171
FPPC Advice: advice@fppc.o.8w 1866/275-3T2I
www.fppc.Ea.gov
0
,Statement of Organization
Recipient Committee
Statement Type )]Initial ® Amendment
Q Not yet qualified
or
Q Date qualified as committee --f—�—
Data qualified as committee
1. Committee information 1340602
1340602
x,.Rv,F.Dr11, I.
KERN CITIZENS FOR PATIENT. RIGHTS
Oa1N 11—D
[ Termination — See Part5 I I For Oficial
IEE IT ac-11Ino Po. Noq
Iry Elan ZIPCOM MFA [ODE/FXONE
EMN L ADOPESS aEDuuCDl/MC IDWIDMaO
Date of termination
2. Treasurer and Other Principal Officers
LAWRENCE R- HIESTAND
m EET,SDDPESS DEO F.O. 800
Ory 4PTE OP CODE MG COOE/EFXIxE
NAME OF MSISTR ulneasMFR, IF.SNV
RREFT MORESS Ian R0..)
Ory STATE ZPCOOE MEP CODCa EONS
VUNIYOFDOMlf16 IWIWICIION WHERE COMMI9FF IS ACTIVE NAME OF PRINCIML OFFICEMS)
KERN USA LINDA G. JARVIS
5AOD.. INO Eu FCC
CIn :1.55 nF CODE APGCODE(PHO.F
Attach additional information on appropriately labeled continuation sheets.
3. Veri -ca
have used all reasonable diligence in p5eparingthis 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.
DoCUERd On 1/12/2018 By
..... SIGNPNPEORREASVPER DRFSSISTMTTPEASUREP
By
E%MUIed On .an sC,wuREOFCO..aaaG OFFICEXOLDER. CE.Dan, a s MEMMSUM PROPONENT
EYKU[eE on Dan 6y SFNATURE UP CONTROLUND.1nomOSe"GNDIDMEOR 55A5EMEAsuRE PxOPoxeNi
Exacted on By
DOE slcx.mRE DE EDInRouDEC CFFCEXo1DEn. C,eaoeE, DRSTAT1 MEMURE PPOFONEm FPPC Form 410(DRober/2817)
FPPC Advice: advice@fppc.n.gov )866/275-3772)
wwwJppi see,
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
KERN CITIZENS FOR PATIENT RIGHTS
• All committees must list the fineor al institution where the campaign bank account is located.
WELLS FARGO BANK
ADJAC� On F
4. Type of Committee CIT
pigtegbeapplicable lemons
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." 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 PAR"
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONEm (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION pEUONE
71L'l1YHiB7YYYfYii Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATO) NAME OR MEASUREIS)FULL TITLE (INCLUDE RALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MFASURE(S) JURISDICTION
IFA RECALL,STATE-RECALP IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNFY, AS APPLICAInd pEUONF
N/A
Nonpartisan
Panisan(list p011tlalparty be low)
ELSE
suvwai
I o msE
N/A
Nonpapartivn
I Partisan (list politicalparty below)
71L'l1YHiB7YYYfYii Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATO) NAME OR MEASUREIS)FULL TITLE (INCLUDE RALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MFASURE(S) JURISDICTION
IFA RECALL,STATE-RECALP IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNFY, AS APPLICAInd pEUONF
N/A
uYPoW
ELSE
suvwai
I o msE
FPPO Form 410 (October/2017)
Clear Page Print FPPC Advice: advice@fppcca.govw(866/2755-3712)
Bdv
Statement of Organization 7340602 N tillRecipient CommitteeINSTRUCTIONS ON REVERSE I.EKERNECITIZENS FOR PAT ILNI RIGHTS
4. Type of Committee (r�nonucN)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
O Cm Committee D COUNTY Committee[] STATE Committee D Political Parry/cental Committee
FORMED TO SUPPORT MEASURES FOR PATIENT RIGHTS AND OPPOSE THOSE THAT ARE NOT FOR PATIENT RIGHTS.
,�' 1 � List additional sponsors on an attachment.
or oU.R
❑/
I<
S. Temllndtf00'.I.ygNI�Eme0i5. 9y Ign ng M_,vejgcanon,theta, W W Edea nd/pr candid t ffi h Itl porp aponent Rernfy tM1 tall of [hr. following nd Honz have_heen 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.
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 (October/201]1
Clear Page, Print FPPC Advice: advice@fpPuoa.gov(866/275-3772)
. .fPpc.w.gov