HomeMy WebLinkAboutCOLLINS TIMOTHY 410Statement of Organization
Date Stamp
Recipient Committee
EMI
Statement Type ® Initial ® Amendment
❑ Termination — See Part 5
22 SEP
19 AN 10' 41
For Official Use Only
Q Not yet qualified
Of
CC {
0 Date qualification threshold met Date qualification threshold met
Date of termination
09 / 06 / 202,- 09 06 2022
I.D. Number
0
• '
OfficersNAME
PCMM
OITTEE
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
ZIPCODE AREACODE/PHONE
CITY STATE I 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
TIM COLLINS
STREET ADDRESS (NO P.O. BOX)
Attach additionsl information on appropriately labeled continuation sheets.
CITY
STATE
ZIP CODE AREA CODE/PHONE
3., Verification
1 have used all reasonanie;a)Ilgence in, preparing this state(
penalty of perjury under the laws of the State of jC rn`i�'
Executed on 9 -- 1q—,7,& By ` cr
D TE
Executed on ?G ^� BY
DATE
t my knowledge the information contained herein is true and complete. I certify under
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
FPPCForm 410(August/2018)
FPPC Advice: adviceWppc.ca.gov (866/275-3772)
www.fppc.ca.Qov
Statement of Organization
CALIFORNIA'
Recipient Committee
• -
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
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
AREA CODE/PHONE
BANK ACCOUNT NUMBER
MECHANICS BANK
(
ADDRESS
CITY
STATE ZIP CODE
.-. . .- ..
• 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 PARTY
NAME OF CAN MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECKONE
Nonpartisan
Partisan
(list political party below)
TIM COLLINS
BAKERSFIELD CITY COUNCIL WARD 7
2022
Nonpartisan
Partisan
(list political party below)
FormedPrimarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410(August/2018)
FPPC Advice: advict@fppc.ca.eov.,(866/275-3772)
www.fppc.ca.eov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
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
GROUP OR AFFILIATION OF SPONSOR
Page 3
I.D. NUMBER
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Date quaiihed
• 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 99511-
89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5:
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov