HomeMy WebLinkAboutMCCALLUM 410 AMEND 9/1/14f *1
Statement of Organization KEF l�'`�
Recipient Committee `� Type o► print in ink
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Statement Type ® Initial 1/ [] Amendment By Termination — See PartiB the c
Not yet qualified [] or List I.D. number: 2014 I�iBFi, i7mbm 9' 5o
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Date qualified as committee Date qualified as committee Date of Termination Hand
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1. Committee Information
NAME OF COMMITTEE
McCallum for Council 2014
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODEIPHONE
MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX/ E -MAIL ADDRESS
COUNTY OF DOMICILE
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Attach additional information on appropriately labeled continuation sheets
Dabs Stamp
HUED AND FILED
lice of the Secretary of State
f the State of California
SEP 0 2 2014
)elivered. Sacramento
STATEMENT OF ORGANIZATION
For OficW Use Only
2014 SEP 15 !0:
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Mark McCallum
STREET ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
MAILING ADDRESS
CITY
STATE ZIP CODE AREA CODEIPHONE
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 a
Executed on 9/1/2014 By
DATE
Executed on 9/1/2014 By
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
FPPC Form 410 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)
Statement of Organization
Recipient Committee UALIFOrIkIIIA
FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
McCallum for Council 2014
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
Mark McCallum
Bakersfield City Council, Ward Three
2014
® Non - Partisan
0 Non - Partisan
• List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION AREA CODEIPHONE BANK ACCOUNT NUMBER
Kem Federal Credit Union 1( 10500454279
ADDRESS CITY 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
OPPOSE
FPPC Form 410 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (8661276 -3772)
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee CALIFORNIA A 1
INSTRUCTIONS ON REVERSE I Page 3
McCallum for Council 2014
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
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
CITY
GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
• ' ' ❑ _J� Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a
Date qualified small contributor committee on January 1, 2001, enter 111/01.
S. 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.
FPPC Form 410 (January/06)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661276 -3772)