HomeMy WebLinkAboutBPOA 410 3/28/12 AMEND Statement of Organization
Recipient Committee
Statement Type [I Initial
Not yet qualified ❑ or
I I
Date qualified as committee
Type or print in ink ARN�C UN A.TY E 60N,
Date Stamp
BY
® Amendment El Termination——see"MarTV
List I.D.number: 2917-RPR17: AM 8: 47
# 943492 #
Date qualified as committee Date of Termination
(if applicable)
STATEMENT OF ORGANIZATION
Only
1012 MAR 28 Ali 1Q: 41
BAKERSF ici_D � i r iJRMEIVED AND ILED
in the office of the Secretary of State
of the State of Callfoinia
1. Committee Information
2. Treasurer and Other Principal Officers TL
NAME OF COMMITTEE
NAME OF TREASURER OWEN
Bakersfield Police Officers Association (BPOA)
Glen Davis Secretary of State
Political Action Committee
STREETADDRESS(NO P.O.BOX)
STREET ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE
AREACODE/PHONE NAME OF ASSISTANT TREASURER.IF ANY
STREET ADDRESS(NO P.O.BOX)
MAILING ADDRESS(IF DIFFERENT)
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX/E-MAIL ADDRESS
NAME OF PRINCIPAL OFFICER(S)
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT Todd Dickson-President
THAN COUNTY OF DOMICILE
STREETADDRESS(NO P.O.BOX)
Kern
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of
perjury under the laws of the State of California that the foregoing is true and correct.
Executed on _ I Z
/
By
DATE
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
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 FF CEHOLD D IDATE.OR STATE MEASURE PROPONENT
FPPC Form 410(April/2011)
FPPC Toll-Free Helpline: 866/ASK-FPPC(8661275-3772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
STATEMENT OF ORGANIZATION
COMMITTEE NAME I.D.NUMBER
Bakersfield Police Officers Association (BPOA)Political Action Committee 1 943492
4.Type of Committee Complete the applicable 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"non-partisan.'
• 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
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
• List the financial institution where the campaign bank account is located(controlled"candidate election"committees only)
NAME OF FINANCIAL INSTITUTION
ADDRESS
AREA CODE/PHONE
CITY
BANK
STATE ZIP CODE
Primarily formed to support 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 MEASURE(S)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE)
CHECK ONE
FPPC Form 410(April/2011)
FPPC Toll-Free Helpline: 866/ASK-FPPC(866/275-3772)
. . 14.
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Bakersfield Police Officers Association (BPOA) Political Action Committee
4.Type of Committee (Continued)
Purpose General 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
STATEMENT OF ORGANIZATION
943492
.. •. List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
Bakersfield Police Officers Association (BPOA)
STREETADDRESS NO.AND STREET CITY STATE ZIP CODE
Date qualified
5.Termination Requirements By signing the verification,the treasurer,assistant treasurer and/or candidate,officeholder,or proponent certify that all 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(April/2011)
FPPC Toll-Free Helpline: 866/ASK-FPPC(8661275-3772)