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1. Committee Information I.D. Number 1 1 _ 2. Treasurer and Other Principal Officers
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
CO.A.—I NA.E
Rivera for City Council 2010 1900952
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INCIOU On
First Foundation Bank (
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 PARTY
NAME OF CANDIDATE/OFFICEHOLDESISTATE MEASURE PROPONENT I INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION C.11A Car
Willie Rivera
City Coun. it Member Ward 1 City of Bakera1ield
NonpaFHsan
%
Partisan
(fistpolincalpartybelow)
Nonpartizan
Parfizan
(list political party below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANOIDATEI$) NAME OR MEASUREIS) FULL His (INCLUDE BALLOT NO. OR LETTER) CANDIDATE)$) OFFICE SOUGHT OR HELD OR MEASUREIS) JURISDICTION
IFA RECALL,STATE -RECALL' IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT No., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
FPPC Form 410(August/20181
FPPC Advice: advice@fppc.ca.gov(866/275-3772)
www.fPPcca.gOV
me
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Rivera for City Council 2018
Page 3 of 3
Not formed to support or oppose specific can d [dates or measures in a single election. Check only one box:
El CITY Committee i] COUNTY Committee El STATE Committee
List additional sponsors on an attachment.
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• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in thefuture;
• 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 5ections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc. a.gov )866/2)5-31]2)
www.fppc.ca.gov