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Home My WebLink AboutKERN CITIZENS FOR PATIENT RIGHTS AMEND 410 02/06/18Statement of Organization DR'R So, ' Recipient Committee statement T pe RE EIVED AND FaLED • - Y ❑Initial 0 Amendment L T,prminatign— 'p(N;ruin th otficeofthe secretary F,oma4 UMOnly Q Not yet qualified (''otGeMtomta 218 JAN 31 PN 4 0'O Date qlifietl as committee ------ 4---- —/----/ - - JAN 22 2010 Data qualified as committee Date of termination LD. Number 2. Treasurer and Other Principal Officers ,,T, , 1340602 KERN CITIZENS FOR PATIENT RIGHTS STREET AOOPESS INO PO. EOE) CITY lnnE nP CODE AREACOOE/PIgNE MARINE ADDRESS OF DIFFERENn EMAIL ADDRESS IREOUINEIO/FAA rEONAU OWNTY OFrn OOMI[ILE ON WNERE COMMITESE 6 AcTIVE KERN USA LAWRENCE R. HIESTAND STREET ADDRESS RIO RO, Roil Ory STATE ➢Pcon ARDOWEM.ORE AME OF PMNCIMLOFFI¢Rtn JEFFREY G. JARVIS STREET ESS (NO AO. D" CITY STATE PPCOOE APFADO.IMMNE Attach additional information on appropriately labeled continuation sheets. 3.: Verification _..I I ' I have used all reasonable diligence in preparing this statement and to the best of my Town he Information contained herein is true and complete. l certify under penalty of perjury under the laws of the State of California that regoing is true rre ERecutedon 1/12/2018 By Ec_c�_ DATEiP S nP A558rP EP becuted On By ERecuted on By GATE SIGNATURE OF CONTROLLING OFIN ENOEDEP, GNOIDATE. OR STATE MEASURE MOPONONT ENecutedon By DTE N RNRME OE CONTPOLUNGOFFIC ePvI , UNOIMR, ORSTRE MEASURE PROPONENT FPPC Form 41010ctaber/20171 FPPC Advice: advice@fppc.o.8w 1866/275-3T2I www.fppc.Ea.gov 0 ,Statement of Organization Recipient Committee Statement Type )]Initial ® Amendment Q Not yet qualified or Q Date qualified as committee --f—�— Data qualified as committee 1. Committee information 1340602 1340602 x,.Rv,F.Dr11, I. KERN CITIZENS FOR PATIENT. RIGHTS Oa1N 11—D [ Termination — See Part5 I I For Oficial IEE IT ac-11Ino Po. Noq Iry Elan ZIPCOM MFA [ODE/FXONE EMN L ADOPESS aEDuuCDl/MC IDWIDMaO Date of termination 2. Treasurer and Other Principal Officers LAWRENCE R- HIESTAND m EET,SDDPESS DEO F.O. 800 Ory 4PTE OP CODE MG COOE/EFXIxE NAME OF MSISTR ulneasMFR, IF.SNV RREFT MORESS Ian R0..) Ory STATE ZPCOOE MEP CODCa EONS VUNIYOFDOMlf16 IWIWICIION WHERE COMMI9FF IS ACTIVE NAME OF PRINCIML OFFICEMS) KERN USA LINDA G. JARVIS 5AOD.. INO Eu FCC CIn :1.55 nF CODE APGCODE(PHO.F Attach additional information on appropriately labeled continuation sheets. 3. Veri -ca have used all reasonable diligence in p5eparingthis statement and to the best of my knowledge the information contained herein Is true and complete. 1 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. DoCUERd On 1/12/2018 By ..... SIGNPNPEORREASVPER DRFSSISTMTTPEASUREP By E%MUIed On .an sC,wuREOFCO..aaaG OFFICEXOLDER. CE.Dan, a s MEMMSUM PROPONENT EYKU[eE on Dan 6y SFNATURE UP CONTROLUND.1nomOSe"GNDIDMEOR 55A5EMEAsuRE PxOPoxeNi Exacted on By DOE slcx.mRE DE EDInRouDEC CFFCEXo1DEn. C,eaoeE, DRSTAT1 MEMURE PPOFONEm FPPC Form 410(DRober/2817) FPPC Advice: advice@fppc.n.gov )866/275-3772) wwwJppi see, Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE KERN CITIZENS FOR PATIENT RIGHTS • All committees must list the fineor al institution where the campaign bank account is located. WELLS FARGO BANK ADJAC� On F 4. Type of Committee CIT pigtegbeapplicable lemons 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." Stating"No party preference" is acceptable. • 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 YEAR OF PAR" NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONEm (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION pEUONE 71L'l1YHiB7YYYfYii Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATO) NAME OR MEASUREIS)FULL TITLE (INCLUDE RALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MFASURE(S) JURISDICTION IFA RECALL,STATE-RECALP IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNFY, AS APPLICAInd pEUONF N/A Nonpartisan Panisan(list p011tlalparty be low) ELSE suvwai I o msE N/A Nonpapartivn I Partisan (list politicalparty below) 71L'l1YHiB7YYYfYii Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATO) NAME OR MEASUREIS)FULL TITLE (INCLUDE RALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MFASURE(S) JURISDICTION IFA RECALL,STATE-RECALP IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNFY, AS APPLICAInd pEUONF N/A uYPoW ELSE suvwai I o msE FPPO Form 410 (October/2017) Clear Page Print FPPC Advice: advice@fppcca.govw(866/2755-3712) Bdv Statement of Organization 7340602 N tillRecipient CommitteeINSTRUCTIONS ON REVERSE I.EKERNECITIZENS FOR PAT ILNI RIGHTS 4. Type of Committee (r�nonucN) Not formed to support or oppose specific candidates or measures in a single election. Check only one box: O Cm Committee D COUNTY Committee[] STATE Committee D Political Parry/cental Committee FORMED TO SUPPORT MEASURES FOR PATIENT RIGHTS AND OPPOSE THOSE THAT ARE NOT FOR PATIENT RIGHTS. ,�' 1 � List additional sponsors on an attachment. or oU.R ❑/ I< S. Temllndtf00'.I.ygNI�Eme0i5. 9y Ign ng M_,vejgcanon,theta, W W Edea nd/pr candid t ffi h Itl porp aponent Rernfy tM1 tall of [hr. following nd Honz have_heen 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 (October/201]1 Clear Page, Print FPPC Advice: advice@fpPuoa.gov(866/275-3772) . .fPpc.w.gov