HomeMy WebLinkAboutMARTINEZ 410 TERM 01/01/14la
Statement of Organization
Recipient Committee
Statement Type ❑ initial
Not yet qualified ❑ or
I I
Date qualified as committee
1. Committee Information
NAME OF COMMITTEE
Efren Martinez for City Council 2013
STREET ADDRESS (NO P.O. BOX)
1279 Brook Street
CITY
Type or print in ink
❑ Amendment
List I.D. number:
_J -1
Date qualified as committee
(If applicable)
In t
®
Termination — See Part 5
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?- Date of Tetmination
STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX/ E-MAIL ADDRESS
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Kern County
Attach additional information on appropriately labeled continuation sheets.
3. Verification
have used all reasonable diligence in preparing this statement and to the bed# of my kr
perjury under the laws of the State of California that the foregoing is true ano kbrrect.
Date Stamp
CALIFORNIA
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For Official Use Only
11 PM 3-- 39
AUG 04
KERN
All
011NTY ELECTIONS
2. Treasurer and Other Principal O icers _. ...... _
NAME OF TREASURER
Ef ren Martinez
STREET ADDRESS (NO P.O. BOX)
1279 Brook Street
CITY STATE ZIP CODE AREA CODEIPHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
I
Martinez
STREET ADDRESS (NO P.O. BOX)
1279 Brook Street
the infprmation contained herein is true and complete. I certify under penalty of
Executed on January 1, 2014 B `
DATE y
SIGNA E OF TR ER C
Executed on January 1, 2014 By
DATE
SIGNATURE OF CONTROLLING O IC ER, C
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, C
Executed on By
DATE ,..,.., t....�......_..___....._
FPPC Form 410 (April/2011)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661276 -3772)
STATEMENT OF ORGANIZATION
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME I.D. NUMBER
Efren Martinez for City Council 2013 1357202
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
CITY
STATE ZIP CODE
Primarily Formed Committee ; 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
OPPOSE
FPPC Form 410 (April/2011)
FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772)
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee CALIFORNIA 4 0
INSTRUCTIONS ON REVERSE I Page 3
Efren Martinez for City Council 2013 1357202
4. Type of Committee (Continued)
. • - . 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
Efren Martinez for City Council
.. • - • • List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
SIAIt
Small Contributor Committee
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: 8661ASK -FPPC (8661275 -3772)