HomeMy WebLinkAboutGOH 410 AMEND 07/21/23Statement of Organization
Recipient Committee
Statement Type ❑ Initial ® Amendment ❑ Termination — See Part 5
Q Not yet qualified
or
0 Date qualification threshold met Date qualification threshold met Date of termination
( I 1-/ 0� 2019
• • I.D.-Nun'1ber-1423226
Date Stamp
For Official Use Only
ZOB JUL 2 I IM 12: 45
BAKERSHE-1..F: _: ii'Y CLEF fi
NAME OF COMMITTEE
NAME OF TREASURER
Karen Goh for Mayor 2024
Louis J. Barbich, CPA
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
CITY
STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY STATE ZIP CODE AREA CODE/PHONE
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
Kern
I Bakersfield
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing
penalty of perjury nder th laws of the State of
Executed on ,� Z�y By
TE vvvv_
Executed on aD2 By /
DATE
STREET ADDRESS (NO P.O. BOX)
CITY
ment and to the best Ot my knowledge the information
) thatthe foregoing is true and correct. ,
OR
OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
STATE ZIP CODE AREACODE/PHONE
true and complete. I certity under
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@Dfppc.ca.gov (866/275-3772)
wwwJppc.ca.eov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Karen Goh for Mayor 2024 11423226
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION: AREA CODE/PHONE BANK ACCOUNT NUMBER
Tri Counties Bank 661 371 2000
ADDRESS CITY STATE ZIP CODE
• 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/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Karen Goh
Mayor
2024
Nonpartisan
✓
Partisan
(list political party below)
Nonpartisan
Partisan
(list political party below)
• Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
1 - r SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fadc.ca.gov (866/275-3772)
wwwJppc.ra.gov
Statement of Organization
Recipient Committee No'
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D. NUMBER
Karen Goh for Mayor 2024 1423226
General• • =Not=formed=to-support-or-oppose-specific candidates -or meas:ures_in_a-single=election=Check only_one=box: - -
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
SponsoredList additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREETADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Date qualified
RequirementsS. Termination • •. or ponent certify that all of the following conditions have been mev.
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: adviceCafppc.ca.gov (866/275-3772)
www.fooc.ca.gov