HomeMy WebLinkAboutYES ON N, BPFL 410 AMEND 02/05/21Statement of Organization
STATE
ZIP CODE
AREA CODE/PHONE
Date Stamp
information contained herein is true and complete. I ce
and correct.
OF TREASURER OR ASSISTANT TREASURER
CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
.�, Executed on
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By
DATE �- SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee CALIFORRIA 4101
.-
INSTRUCTIONS ON REVERSE
Page 2 of 4
COMMITTEE NAME I.D. NUMBER
Yes on Measure N - Bakersfield Professional Firefighters Local 246 Action Fund (nonprofit 501 (c)(4)) 1405380
2a. Additional Officers / Assistant Treasurers
NAME
NAME
Josh Yates, Assistant Treasurer
MAILING ADDRESS
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/PHONE
CITY STATE ZIP CODE AREACODE/PHONE
NAME
NAME
Jason Kingsley, Treasurer
MAILING ADDRESS
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE
NAME
NAME
MAILING ADDRESS
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
CITY
STATE
ZIP CODE
AREA CODE/PHONE
NAME NAME
MAILING ADDRESS MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Yes on Measure N - Bakersfield Professional Firefighters Local 246 Action Fund (nonprofit 501 (c)(4))
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Wells Fargo Bank
ADDRESS
AREA CODE/PHONE
(
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
I.D. NUMBER
Page 3 of 4
1405380
I(. ni"., .'T.rrn.� _ _ T; a of:;Comm�ttee .Com lete,tFie-a Ilca6lesectio ,:
mitis.. , ..._.. ...,�:- _.�....._. .....,:., ff ,.�...
• 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
(INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Primarily Formed Committee � Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN DIDATE (S) NAME OR MEASURES) FU LL TITLE (INCLUDE BALLOT N0. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY. AS APPLICABLE)
Bakersfield Public Safety/Vital City Services Measure. : N
City of Bakersfield
SUPPORT
Nonpartisan
Partisan
(list political party below)
SUPPORT
OPPOSE
Nonpartisan
Partisan
(list political party below)
Primarily Formed Committee � Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN DIDATE (S) NAME OR MEASURES) FU LL TITLE (INCLUDE BALLOT N0. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY. AS APPLICABLE)
Bakersfield Public Safety/Vital City Services Measure. : N
City of Bakersfield
SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410(August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 4 of 4
COMMITTEE NAME I.D. NUMBER
Yes on Measure N --Bakersfield Professional Firefighters Local 246 Action Fund (nonprofit 501 (c)(4)) lgln; nn
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4 T e of Committee
rYpw (Continued)
PurposeGeneral Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Organization's mission is advocating for improvements in and
List additional sponsors on an attachment.
education about fire
NAME OF SPONSOR (INDUSTRY GROUP OR AFFILIATION OF SPONSOR
ion and public safety generally. Political activities
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
!7)fUlll�rO111/I�IU67iRU111NI1Ka:� ❑
Date qualified
71 5. Tei'minatlon-.Re UirementS, Bysigiiing the venf�¢ation, the.t'reasurer, assistant treasures,and/or caniJidate,'officeholder, or Pro onentcertify that all;of the followin conditioris tieJe 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 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov