HomeMy WebLinkAboutRIVERA 410 AMEND 12/11/17Statement 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 2018
0 Amendment ❑ Termination - See Part 7 �E IVED AND I
List LD. number' gist LD. number a the ca of the Secrebp
p 1400452 t(
2818 J0 19 PM 3:49 1 it the State of CalifOR
12 i1J 2014 Y Date n JAN 04 2018
Date qualrfedascommittee Date ofTertnination
Or aoanre6M)
CITY STATE ZIPCODE AREACODEIPHONE
MAILING ADDRESS (IF DIFFERENT)
FAX I E -MAIL ADDRESS
( /
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Sacramento County City of Bakersfield
1018 JAN -8 PM I
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Shavnda Deane
STREET ADDRESS (NO P O. BOX)
CITY STATE ZIPCODE AREAC, .'HONE
NAME OF ASSISTANTTREASURER IF ANT
STREET ADDRESS(NOPO. BOX)
CITY STATE ZIPCODE AREACODEIPHONE
NAME OF PRINCIPAL OFFICER(S)
Attach additional information On appropriately labeled Continuation Sheets. STREET ADDRESS (NO P. O. BOX)
CITY STATE ZIPCODE AR EA CODEPHONE
3. Verification
I have used all reasonable diligence in preparing this ement an to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury u der the laws of the State of Ifo nia that the 'rig is true and correct.
Executed on 1 lb By
O TE $IGNW OF TREASURER OR ASSISTANT TREASURER
Executed on 1-2 Z y / %
TE y SIGNATURE OF CONTRB NG OFFICEHOLDER, CANDIDATE OR STATE MEASURE PROPONENT
Executed on
FATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on Fly
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANFIDPIE OR SWE MEASURE PROPONENT
0
www.neH / /e.eom FPPC Form 410 (JanIM16)
FPPC Advice: advice@fppc.ca.gov (6662753772)
www1pre.camay
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
for
• All committees must list the financial institution where the campaign bank account is located.
First Fccusat Les Bank
1601 Response Road, Suite 190
4. Type of Committee Complete the applicable sections.
515006962
Page 2 of 3
1400452
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate orofficeholder 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 CAN D I DNE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Willie Riveaa
City Council Member Ward 1: City of Bakersfield
2018
i]% NOnpardan
Nonpartisan
Primarily formed to support or oppose specific candidates or measures in asingle election. List bi low,
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO OR LETTER) CANDIOATE(B) OFPeTO fOUGBTORVH ^LOOR MEASUREeS'JURaISD`CTION
FPPC Fawn 410 (JenQ016)
www.net(le.com FPPC Advice: advic @fppc.ca.gov (8661275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3 of 3
Rivera for Ci Cy Council 2010 I 1400452
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 i] COl1MYCommittee ❑ STATECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
NAME OF SPONSOR
List additional sponsors on an attachment.
I
Dale9ualified
GROUP OR AFFILIATION OF SPONSOR
S.Termination Requirements By signing the verification, the treasurer, assistant treasurer and /or candidate, officel alder, or proponent ceNfy 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 fled 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.
ww.neHile.com FPPC Form 410 IJan12016)
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FPPC Advice: advice@fppo.ca.gov (86612753772)
www.fppo.ca.gov