HomeMy WebLinkAboutCOLLINS TIMOTHY 410 AMEND 09/19/22M
Statement of Organization
Date Stamp CALIFORNIA
Recipient Committee
0
FORM
Statement Type ® Initial ® Amendment -
❑ TerminatioT-See Part 5 RECEIVED AND FIB 5 .For Official Use Only
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12) Date qualification threshold met Date, qualification thi-Af Jltl�`e
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09 / 06 / 202.' 0'9 / 06 / 202.
I.D. Number 1452877••
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a licableNAME
7AME--0FEASURERTIMOTHY
COLLINS FOR CITY COUNCIL WARD 7 - 2022
NA DODGE
STREET ADDRESS (NO P.O. BOX)
902 CROWN
(NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
4016 MARGARLO
ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Bakersfield CA
ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY STATE ZIP CODE AREA CODE/PHONE
TIMCOLLINS4COUNCIL@GMAIL.COM
DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
KERN
KERN COUNTY
TIM COLLINS
!i
STREET ADDRESS (NO P.O. BOX)
j
4016 MARGARLO
information on appropriately.labeled I continuation sheets.
CITY STATE ZIP CODE AREA CODE/PHONE
I
BAKERSFIELD CA
used all reasonable diligence in preparing this stateme�nt and to the be�4f�my knowledge the information contained_ herein is true and complete. I certify under
UJGG
penalty of periury under the laws of the State of Cania i6t&e forelaninL� is
rll�a and r,��P�r,
Executed on By
/y DITE
-2
Executed on C• 6 2--,By
DATE
r SIG ry'ATHIZE OF7REASURER-OR ASSISTANT TREASURER
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, —CANDIDATE, —OF STATE-MEASORE-PRa-PON N
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
WE
FPPC Form 410 (August/2018)
FPPC Advice: adviceCcpfppc ca eov (866/275-3772)
www_fppc ca,goy
Statement of Organization i�iE'�r j
Recipient Committee
INSTRUCTIONS ON REVERSE�-�
1. Page 2
COMMITTEE NAME Ion 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 pL
AREA CODE/PHONE BANK ACCOUNT NUMBER
MECHANICS BANK (
ADDRESS it CITY STATE ZIP CODE
• List the name of each controlling officeholder, candida* 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.
I
ELECTIVE OFFICE SOUGHT OR HELD YEAR)OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICARLF) FI FrTInN
i
TIM COLLINS
BAKERSFIELD CITY COUNCIL WARD 7
2022
Nonpartisan
Partisan
(list political party below)
{
{S{
I
Nonpartisan
Partisan
(list political party below)
Primarily Formed Committee 'Primarily formed to supbort or oppose specific candidates or measures in a single election .� List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT)NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURFISV RIRKnirTInN
IF A RECALL, STATE "RECALL' IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
I
SUPPORT OPPOSE
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I
FPPC Form 410 (August/2018)
FPPC Advice: adv_ice@fppc_ca.goy_(866/275-3772)
I
www.fupc.ca.Rov
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i
Statement of Organization t�fft3'``I .,.4"'CALIFORNIA
4i
Recipient Committee FORM 0
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I 1') I.D. NUMBER
TIMOTHY COLLINS FOR CITY COUNCIL WARD 7 2022 �a21 S��
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee I ❑ COUNTY Committee ❑ STATE Committee
PROVIDE
SponsoredList additional sponsors on an
attachment.
NAME OF SPONSOR .I
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
1
STREET ADDRESS NO. AND STREET
11
I CITY STATE ZIP CODE AREA CODE/PHONE
I
Smail Contributor. ❑ / /
Date qualified
• This committee has ceased to receive contributions'
• This committee does not anticipate receiving contributions
and make expenditures; i
or making expenditures in the future;
• This committee has eliminated or has no intention �r ability to discharge all debts, loans received, and other obligations;
i
• This committee has no surplus funds; and I
� I
---•--T-his 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 co Imittees 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.
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{ FPPC Form 410 (August/2018)
FPPC Advice: adviceLP_Pc.ca.gov (866/275-3772)
• I www.fppc_ca.gov