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HomeMy WebLinkAboutRIVERA 410 AMEND 9/29/15Statement of Organization Recipient Committee Statement Type ❑Initial NotyelgUelikad ❑ ar Date qualifietl as committee Council 2018 0 Amendment ❑ Termination —See Part5 in ❑S[ LD. number: It d�"f -° ° AM 9: 56 8901 X Executed on fiR1$Lt \�T' :Ll ':�I j sLLRK 09/25/2015 Executed on /- Date qualified as committee Date of Termination pr noemnB14 STREETADDRESS I NO PO. BOMI ( Attach additional information on appropriately labeled continuation sheets. Four m T1,411- I Shaunda Deane pare stamp IVED AND FILED ce of the Secretary of State the Stine of cerrarnia S3 29 2015 Sacramento 2015 OCT -5 Ph 3: 18 KERN COUNTY ELECTIONS ESS IRO P.O . San 51787 Tribute Road, Suite K NAME OF ASSISTANT TREASURER, IF ANY Willie Rivera STREET ADDRESS (NO re Near NAME OF PRINCIPAL OFnCERIA 07Y STATE ZIPm OE AREA CODEIPHONE have used all reasonable diligence in preparing this statement a51,tnhi 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 Ih a forego g a IT correct. Executed on O BY Executed on DA O� 6y i OF iREA1 ER OR ASSISTANT T0.EASWER STRYTHEITIOCCONTROLLEV, StiODDEITCANDIDATE, OR STATE MEASURE PROPONENT Lxecuten on ay SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, ON STATE MEASURE PROPONENT OATS Executes On uy DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANOIDATE,OR STATE MEASURE PROPONENT FPPC Form 410(Dec /2012) FPPC Advice: adviceFQtppc.ca.gov (866/275 -3772) www.fppc.m.gov Statement of Organization • - , Recipient Committee • INSTRUCTIONS ON REVERSE 2 0[ DENENUTTER NAME DLO MIMBER Rivera for City Council 2018 1398901 All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION MEA mrE /PHONE •ACCOUMNUM611 Cortmunity 1st Hank nVUNE11 U.1 .1 A car 4. Type of Committee Complete the applicable secdons. • 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 as jointly with another Controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATE /OFFICEHOLOER/STATE MEASURE PROPONENT Her WIDE DISTRICT NU MEET IF APPLICABLE) YEAR OF ELECTION PAR" iWlYfiiiilYYYfYii Primarily formed to support or oppose specific candidates or measures in a single election. list below: CAN DIDATEISI NAME OR M EASUREISI FULL TITLE (INCLUDE BALLOT ND. OR LETTERI CANDIDATEISI OFFICE SOUGHT OR HELD OR MEASURdu JURISDICTION City of Bakersfield wecx SVPPOM ❑IE IDPP❑OSE 0 NOOpartie. Willie Rivera City Council, Ward 1 2018 ❑ Nonpartisan iWlYfiiiilYYYfYii Primarily formed to support or oppose specific candidates or measures in a single election. list below: CAN DIDATEISI NAME OR M EASUREISI FULL TITLE (INCLUDE BALLOT ND. OR LETTERI CANDIDATEISI OFFICE SOUGHT OR HELD OR MEASURdu JURISDICTION FPPC Form 410(Dec/2012) FPPC Advice: advice @fppc.m.gov (8661 www.fpirc.ca.gav .._ ._...._..._.- ... - .. ....... wecx SVPPOM ❑IE IDPP❑OSE OR ���I I M FPPC Form 410(Dec/2012) FPPC Advice: advice @fppc.m.gov (8661 www.fpirc.ca.gav Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Rivera for City Council 2018 Type of Committee Icnnennem rims,.1'Noreen Not formed to support or oppose specific candidates or measures in a single election. Check only one Oct. [] CITYCOmmittee [] COUNTY Committee[] STATE Committee List additional sponsors on an attachment. u i of 3 1310901 S. Termination Requirements Ryslgme, the verlhcanog[ee ncamrer, a,m,mi,t treasurer and/or =andeem, efhceholder, or proponent rent, that all of the following conditions have been mot • 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 maybe 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/2012i FPPC Advice: advice @fppc.ca.gm (8661 www.fppc.ongov