HomeMy WebLinkAboutBPFL246 410 AMEND 7/25/18Statement of Organization
Recipient Committee
Statement Type ❑ Initial El Amendment
0 Not yet qualified
or 04 O1 2ale
O Data
qualified as committee ��—
Date qualified as committee
1. Committee Information I E (ifopplicoblefE 1405380
Date Stamp
❑ Termination —See Part s CI OF BAKERSFIELD
JUL 25 2018
Dale Of termination C CLERK'S OFFICE
2. Treasurer and Other Principal Officers
Bakersfield Professional Firefighters Local 246 Action Fund (nonprofit 501 Ryle Tiner
(C)(4)( STREET ADDRESS (NO FLO, 9ox)
STREETACCEP INO In eml
STATE
AREA CODEPHONE
CITY
STFZE ZIP CODE AREACOOE/PNONE
MAILI N6 ADDRESS (IF DIFFERS"
EMAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
COUNTY OF DOMICILE
JunIOICTIONWHIBUCOMMIIIEE IS ACTIVE
Kern County
City of Rakerefield
For Dnklsl Use Only
Cm
STATE
ZIP CODE
AREA CODEPHONE
NAME OF ASSISTANT TREASURER, IE ANY
Josh Yates, Assistant Treasurer
STREETADORESSINOP.o. eoal
OITY
STATE
nP CODE
AREACODE/PNONE
NAME OF PRINCIPAL OFF¢ENRI
Tim Ortiz, President
STREET ADDRESS INO P.O. BOF)
CITY STATE Zm CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
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 peri u unlper the laws of the State of California that the fore Ding is true and correct.
Executed On YUZ 3 2018 BY the re
JULV2D� 2018 .TREASURE. OR ASSISTAN T TREASURER
Executed on 3-_ By/i lid IS:c~ t _
Executed on By
DATE SIGNATURE OF CONTROLLING OF F ICEHOLDEN CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (February/20191
FPPC Advice: advicelafppc.ca.gov (866/2753772)
www hElH.o.Bov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Bakersfield
2a. Additional Officers/ Assistant Treasurers
501 In
Josh Yates, Assistant Treasurer
MAILING ADDRESS
CRY
CRY
STATE
ZIPCODE
AREACODEIPHONE
NAME
Kyle Titer, Treasurer
MAILING ADDRESS
CRY
CITY
STATE
ZIPCODE
AREACODEFHONE
NAME
MAILING ADDRESS
CRY
STATE
ZIP CODE
AREACODEIPHONE
CITY
STATE
ZIPCODE
AREACODEIPHONE
NAME
MAILING ADDRESS
CRY
STATE
ZIPCODE
AREACODEIPHONE
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Page 2 of 4
1405350
ADDRESS
CITY STATE ZIPCODE AREACODEIPHONE
FPPC Fong 410 (February/2018)
FPPC Advice: advlce@fppcmgov (86&275-3n2)
..fppe.ea.gov
NAME
MAILING ADDRESS
CRY
STATE
ZIPCODE
AREACODEIPHONE
NAME
MAILING ADDRESS
CITY
STATE
ZIPCODE
AREACODEFHONE
NAME
MAILING ADDRESS
CITY
STATE
ZIPCODE
AREACODEIPHONE
FPPC Fong 410 (February/2018)
FPPC Advice: advlce@fppcmgov (86&275-3n2)
..fppe.ea.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
e'o'
Page 2
A 1
f 4
COMMITTEE NAME
LD. NUMBER
05360
Bakersfield Professional Firef
igh[era Local
246 Action
Fwd (nonprof i[ 501
(C1141I
2a. Additional Officers
/Assistant Treasurers
NAME
NAME
Josh Yates, Assist ear Treasurer
MAILING ADDRESS
MAILING ADDRESS
CITY
STATE
ZIPCODE
AREACODEIPHONE
CITY
STATE
ZIPCODE
AREACODUPHONE
NAME
NAME
Kyle Tiner, Treasurer
MAILING ADDRESS
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREACODEIPHONE
CITY
STATE
ZIPCODE
AREACODEIPHONE
NAME
NAME
MAILING ADDRESS
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREACODEIPHONE
CITY
STATE
ZIPCODE
AREACODEIPHONE
NAME
NAME
MAILING ADDRESS
MAILING ADDRESS
CITY
STATE
ZIPCODE
AREACODNPHONE
CITY
STATE
ZIP CODE
AREACODEIPHONE
FPPC Form 010 (February/2018)
arww.netfile.com FPPC Advice: advice@fppc.ra.gov
sa Ie66sipc.m.gov
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