HomeMy WebLinkAboutCOLLINS TIMOTHY 410 AMEND 08/25/22t atement oT urganlzation ;�i b J �-
l in the office of the acr' �tary,c t �i
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' 410
Recipient Committee I'
of the State of California 0yFORM
Statement Type ❑ Initial ti;/,mendment ❑ Termination — See Part 5
AUG 2 �022
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Q) Not yet qualified
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202
SEP 16
PH 3: 09
or
O Date qualification threshold met Date qualification threshold met
Date of termination
• I.D. Number
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• • • •
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NAME OF COMMITTEE �I'
)
7NAME TREASURER
TIMOTHY COLLINS FOR CITY COUNCIL - WARD 7 - 2022
DONNA DODGE
,
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX) I
CITY STATE
ZIP CODE
AREA CODE/PHONE
CITY STATE ZIP CODE j 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 'j'
TIMOTHY R COLLINS
STREET ADDRESS (NO P.O. BOX) -
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Attach additional information on appropriately labeled continuation sheets.
CITY 1 STATE
ZIP CODE
AREACODE/PHONE
Y
J
have used all reasonable diligence in preparing this,`state%��n and to the be- s myknowledgethe information contained herein is true and complete. I certify under
--.,onnii— nf-noriiirv-rinrlor thn lnwc of tha States of r'alifnr Idahiha� the foregoing ,-
ue lid correct.
- -
- ----
8/15/2022
`
CA Q
Executed on
By
DATE
.;A SIGNATURE OF SURER OR ASSISTANT TREASURER
A
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 VIEASURE PROPONENT
I�
Executed on
By
DATE{. SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATEMEASURE PROPONENT
I FPPC.Form 410 (August/2018)
i� FPPC Advice: advicePfppc.ca.eov (866/275-3772)
+' www.fppc.ca.eov
'.Satement of Organization CALIFORNIA'
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME j
I.D. NUMBER
TIMOTHY COLLINS FOR CITY COUNCIL - WARD, 7 - 2022
I
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
AREA CODE/PHONE
BANK ACCOUNT NUMBER
(
ADDRESS I STATE ZIP CODE
Controlled Committee
• 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 CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Nonpartisan
Partisan
(list political party below)
TIMOTHY R COLLINS
I
BAKERSFIELD CITY COUNCIL WARD 7
2022
✓
JINonpartisan
I
Partisan
(list political party below)
FormedPrimarily Primarily formed to support or oppose specific candidates or measures in a single election. List below:
i
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) 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
I SUPPORT OPPOSE
1
II
+ SUPPORT OPPOSE
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I
FPPC Form 410 (August/2018)
FPPC Advice: advice(@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
n,
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME 1
TIMOTHY COLLINS FOR CITY COUNCIL - WARD 7 — 2022
I
Page 3
1 LD. NUMBER
General Purpose Committee Not formed to suppor
or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee
❑ COUNTY Committee ET STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Sponsored Committee List additional sponsors on an
attachment:
NAME OF SPONSOR
I _
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
l
STREET ADDRESS NO. AND STREET
CITY STATE I ZIP CODE AREA CODE/PHONE
SmaY Contributor Committee
Date qualified
• This committee has ceased to receive contribution
�I and make expenditures;
• This committee does not anticipate receiving contributions
or making expenditures in the future;
I
• This committee has eliminated or has no intention
for ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
j
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— 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. 1
Leftover funds of ballot measure committees may be used for political, legislative or governmental pur oses under Government Code Sections 89511-
I p p'I
89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
I
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FPPC Form 410 (August/2018)
FPPC Advice: advice@fPpc.ca.gov (866/275-3772)
I
wwwfppc ca.9ov