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HomeMy WebLinkAboutBPFL246 410 AMEND 09/27/13Statement of Organization Recipient Committee Statement Type ❑ Initial Q Amendment ❑ Termination - See Part 5 Not yet qualified ❑ or List I.D. number: List I.D. number: # 821955 # 05/04/1982 Date as committee Date qualified mittee Date of Termination (If applicable) in the Ace of the Seery of State . Of the Stale of California v r J V# I C'ly� SEP 3.0 2013 1 pH 13 dCi 11 P' 3� �+� Ha Delivered, Sacramento itn 1. Committee Information, 2.. Treasurer and Other P NAME OF COMMITTEE NAME OF TREASURER Bakersfield Professional Firefighters Local 246 PAC - STREET ADDRESS (NO P.O. BOX) CITY STATE ZIPCODE AREA CODE /PHONE ( MAILING ADDRESS (IF DIFFERENT) FAX / E-MAIL ADDRESS COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE Kern City of Bakersfield Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE /PHONE ( NAME OF ASSISTANT TREASURER, IF ANY Jeff Heinle STREET ADDRESS (NO P.O. BOX) - STATE ZIP CODE AREA CODE /PHONE ( NAME OF PRINCIPAL OFFICERS) Benjamin Henggeler, Treasurer STREET ADDRESS (NO P.O. BOX) 3.; I have Verification reasonable diligence In preparing this statement best of m knowledge the information contained herein is true and tatement and to the be y g complete. I certify under penalty of peerrjuryy under the laws rof the State of California that the foregoing is true and. corre Executed on 7`Y7� L�t 5 By DATE trTRATkRE OF TREA R ASSISTANT TREASURER Executed on DATE Executed on DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov 49 Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE CALIFORNIA "� FORM 410 2 of 4 COMMITTEE NAME I.D. NUMBER Bakersfield Professional Firefighters Local 246 PAC 821955 2a. Additional Officers NAME OF OTHER PRINCIPAL OFFICER(S) NAME OF OTHER PRINCIPAL OFFICER(S) Jeff Heinle, Principal Officer MAILING ADDRESS MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE NAME OF OTHER PRINCIPAL OFFICER(S) NAME OF OTHER PRINCIPAL OFFICER(S) Nick Poulos, Principal Officer MAILING ADDRESS MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE NAME OF OTHER PRINCIPAL OFFICER(S) NAME OF OTHER PRINCIPAL OFFICER(S) MAILING ADDRESS MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE NAME OF OTHER PRINCIPAL OFFICER(S) NAME OF OTHER PRINCIPAL OFFICER(S) MAILING ADDRESS MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE www.netfi'le.com k. FPPC Form 410 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME I I.D. NUMBER Bakersfield Professional Firefighters Local 246 PAC 821955 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE BANK ACCOUNT NUMBER Wells Fargo Bank ( ADDRESS CITY STATE ZIP CODE 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 "nonpartisan." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Primarily Formed Committee I 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 MEASU REIS) JURISDICTION (INCLUDE DISTRICT NO.. CITY OR COUNTY, AS APPLICABLE) CHECK ONE FPPCForm 410(Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SUPPORT OPPOSE sum OPPOSE FPPCForm 410(Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization • ' Recipient Committee FOR 410 M INSTRUCTIONS ON REVERSE Page 3 of 4 COMMITTEE NAME t.D. NUMBER Bakersfield Professional Firefighters Local 246 PAC 821955 4. Type of Committee (Continued) General Purpose Committee 11 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 To support or oppose state and local candidates IRT-riff . ' List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR Bakersfield Professional Firefighters Local 246 Firefighters STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE Small Contributor Committee : El 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(Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov OLSON HAGEL & FISHBURN, LLP Date: SEP 3 0 ')n,7 0�- Secretary of State uI CRK Political Reform Division Re: BAKERSFIELD PROFESSIONAL FIREFIGHTERS LOCAL 246 PAC ID No. 821955 Period: through Enclosed are the original and two copies F '° nlrlosd "is `one copy of the following for the above referenced committee: ( ) Form 460 (X) Form 410.y ( ) Form 465 Please endorse one copy of the enclosed report as proof of receipt `ds�sTlrat�srita�`ie�ir`b� tll to us ( ) via messenger addressed, stamped envelope. Very truly yours, OLSON HAGEL & FISHBURN LLP CAMPAIGN REPORT DIVISION Client No. 40241.01/MB Atty: M gr: ��, Pvy Mgr: