HomeMy WebLinkAboutRIVERA 410 AMEND 2/19/16Statement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
Date qualified as committee
1. Committee Information
NAME OF COMMITTEE
Rivera for City Council 3014
STREET ADDRESS (NO PO. BOX)
0 Amendment
Listl.D.number:
r ]354555
OS / 16 r 2013
Date qualified as committee
(n aP —U.)
0 Termination -See
List I . number:
# 1354555
Attach additional information on appropriately labeled continuation sheets.
2016
DateofTermination
RE$EIVED AND FILED
in the office of the Secretary of State
FEB 22 2016
"MAR 23 AM E:
ti3ihL1`F �jI I,f
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Shawnda Deane
STREET ADDRESS (NO P.O. BOX)
NAME OF ASSISTANT TREASURER, IF ANY
Willie Rivera
STREET ADDRESS (NO PO. BOX)
NAME OF PRINCIPAL OFFICERS)
P.O. BOX)
CRY STATE ZIPCODE AREACODE /PHONE
3. Verification
I have used all reasonable diligence in preparing this statement. tot a best of my knowledge the information contained herein is true and complete. Icenifyunder
penalty of perjury under(the laws
of the State of California Mat a dreg. g - e antl cor
Executed on -1l- V11 By
Otp1iE ``-- IG RE OF A NNT
Execuledon By
DATE SIGNWURE OF WNTROLLING OFFICEHOL CANDIDR60R SIAEMEPSV0.E PROPoNEM
Executed on B/
DATE SIGNRVNE OF CONT0.0LLING OFFICEHOLDER, CPNnIDRE OR STATE MFASVRE PROPONENT
rEExecuted on B,'
DATE F l GJ x FFSU PoNEn
FPPC Form 410 (dan=16)
www.netfife.com FPPC Advice: advice@tppc.ca.gov (6661275 -3772)
www.foac.ea.nov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
for City Council 2014
• All committees must list the financial institution wherethe Campaign bank account is located.
1st Bank
Page 2 of 3
1354555
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.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANOIDREI OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IFAPPUCABLE) YEAR OF ELECTION PARTY
Primarily formed to support or oppose specific Candidates or measures in a single election. Listbelow:
CANDIDATE($) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK
Irwww.netlle.com FPPC Form 410 (Jan12016)
FPPC Advice: advice @fppc.ca.gov (8661275 -3772)
/. www.fppc.ca.goV
City Council, Ward 1: City of Bakersfield
0 Nonpartisan
Willie Rivera
❑ Nonpartisan
Primarily formed to support or oppose specific Candidates or measures in a single election. Listbelow:
CANDIDATE($) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK
Irwww.netlle.com FPPC Form 410 (Jan12016)
FPPC Advice: advice @fppc.ca.gov (8661275 -3772)
/. www.fppc.ca.goV
Statement of Organization
Recipient Committee '
INSTRUCTIONS ON REVERSE
Page 3 of 3
Rivera for City Council 2014 1354555
4. Type of Committee (Continued)
Notformedtosuppodoroppose specific candidates or measures in a single election. Check only one box.
CITY Committee ❑ COUNTYCommittee ❑ STATECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
NAME OF SPONSOR
List additional sponsors on an attachment.
❑ ��-
Datequahlied
5.Termination Requirements By signing the verification, the treasurer, assistant treasurer and /orrandidate, oficehokler, or proponent certify that all ofthe 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 (Jan/2016)
frwww.nel// /e.com FPPC Advice: advice@fppc.ca.gov (866/275-3772)
1 www.fppc.ca.gov
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