HomeMy WebLinkAboutMADRIGAL MIKE 410 AMEND 09/03/24Statement of Organization
Recipient Committee
Statement Type i] Initial ® Amendment
Q) Not yet qualified
or
O Date qualification threshold met Date qualification threshold met
1. Committee Information LD. Number Pending
Mike Madrigal for City Council - 5 - 2024
STREET ADDRESS IND PO. BOX)
CITY STATE ZIPCODE AREA CODE/PHONE
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
MikeM4Council@gmail.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Kern Kern County
Attach additional information on appropriately labeled continuation sheets.
SEP 3 AM If: 2 7
BAKER5FIELD LI i Y CLERK
Date S'—p
Termination - See Part 5 1 i For Official Use Only
Date of termination
NAME OF TREASURER
LaDonna Dodge
STREET ADDRESS (NO P.O. BOX)
EMAIL ADDRESS OF TREASURER (REQUIRED)
AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO PO. BOX)
CITY
STATE ZIP CODE
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
Mike Madrigal
STREET ADDRESS (NO P.O. BOX)
EMAIL ADDRESS OF PRINCIPAL OFFICERS) (REQUIRED)
AREA CODE/PHONE
MtkeM4Council@gmati.com
I have used all reasonable diligence in preparing this statement and o he best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws oof the State of California h going is true an correct.
Executed on p —3p 27 By
DATE SIGN UR OF TREASUPOORASuSTANTIREASURER
Executed on 4 O C-� By
DATE SIGNAT
k.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 OFFICEHOI. DER, CANDIDATE. OR STATE MEASURE PROPONENT
FPPC Form 410(October/2023)
FPPC Advice: advice@fooc.ca.Rov (866/275-3772)
W W W.fppc.ca.eov
Ctafnmanf of Organization
CALIFORNIA Al n
Recipient Committee
Mw
INSTRUCTIONS ON REVERSE
PaFR 2
I.O. NUMBER
COMMITTEE NAME
pending
Mike Madrigal for City Council - 5 - 2024
s must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records.
STITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS
AREA CODE/PHONE
BANKACCOUNT NUMBER
tOFFINANCIAL
(661) 833-9292
nk
STATE ZIP CODE
L INSTITUTION
Hwy4.
Type of Committee Cornolete the applicoble sections.
• 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
____
7IfflfflN� Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATEIS) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD 01 MEASURE(S) IURISDICTION
_____. _._ ,..,.,,,..r �.•re,�. ,�., n.v no rnuu,•v AS APP IreRI Fl rwcrK FINE
IF A RECALL,) IAI t ACLALL In
-----
SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410(October/2823)
FPPC Advice: advice@fooc.ca.Rov, (866/27S-3772)
www.foac.ca.Bov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Mike Madrigal for City Council - 5 - 2024
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
1� List additional sponsors on an attachment.
NAME OF SPONSOR
OR AFFILIATION OF SPONSOR
ZZ
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
ram' �'� ❑ _� i
Oa[e Walll�ed
• 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/2023)
FPPC Advice: advice[DfODC ca.Rov (866/275-3772)
www.fooc.ca.gov