HomeMy WebLinkAboutCOLLINS TIMOTHY 410 AMENDfi'-
S#ttement of Organization
' CALIFORNIA 410
IffNMRA
Statement Type ❑ Initial ®Amendment
El Termination — See,Part 5J I Y OF PDAKEE- R SFE D
For official Use only
I� Not yet qualified
-
AUG 17 2022
..
or
0 Date qualification threshold met Date qualification threshold met
Date of termination
CITY CLERK'S OFFICI;
Committee1. I.D. Number
Other Principal
(if a plitoble)
NAME OF COMMITTEE
NAME OF TREASURER
TIMOTHY COLLINS FOR CITY COUNCIL - WARD 7 - 2022
LADONNA DODGE
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY STATE
ZIP CODE AREA CODE/PHONE
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
KERN
KERN COUNTY
TIMOTHY,R COLLINS
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE AREACODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
3. Verification
I nave used all reasoname alligence In preparing tn)s state n ana to the oes my Knowleage the lnrormarion containea nereln is true ana complete. i ceruiy unaer
penalty of perjury under the laws of the State of C�lifor is a the foregoing is t ue hd correct.
8/15/2022
Executed on
By ( /I'"
v-ti. '-�
DATE
SIGNATURE OF SURER OR ASSISTANT TREASURER
8/15/2022
Executed on
By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
TIMOTHY COLLINS FOR CITY COUNCIL - WARD 7 - 2022
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
AREA CODE/PHONE
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
Page 2
I.D. NUMBER
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate pr officeholder controlled,
also list the elective office sought or held, and district number, if any, and the year of the election.
�i
• 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/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Nonpartisan
Partisan
(list political party below)
TIMOTHY R COLLINS
BAKERSFIELD CITY COUNCIL WARD 7
2022
✓
Nonpartisan
Partisan
(list political party below)
FormedPrimarily Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(5) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(5) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
a. FPPC Advice: advice(Mfppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
TIMOTHY COLLINS FOR CITY COUNCIL - WARD 7 - 2022
Not formed to support or oppose specific candidates or measures in.a:single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
❑
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
Page 3
I.D. NUMBER
STATE ZIP CODE AREA CODE/PHONE
Date qualified
S. Termination Requirements By signing the verification, the treasurer, assistant treasurerand/or candidate, officeholder, or ponent certify thatall.of the 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.
— 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 (August/2018)
FPPC Advice: adviceCcDfPPc.ca.eov (866/275-3772)
www.fppc.ca.gov