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HomeMy WebLinkAboutRIVERA 410 INITIAL 01/11/13Statement of Organization Recipient Committee ED Initial Not yet qualified ® or 13 FEB 13 AM 11: 33 K 3+ I� ❑ List I.D. number: Date qualified as committee Date qualified as committee (If applicable) i. a.vmmiuee mrormauon NAME OF COMMITTEE Rivera for City Council 2013 /35+55-5 Date Stamp AILEDas Lu e ❑ Termination —See Part � � of to � a _°— �- --�- -, List I.D. number: Ste ofCafti* 013 FEB I I Fn 3. 13 N 112013 Date of Termination I I {/64C STREET ADDRESS (NO P.O. BOX) Attach additional information on appropriately labeled continuation sheets. 2. Treasurer and Other Principal Officers NAME OF TREASURER Shawnda Deane NAME OF ASSISTANT TREASURER, IF ANY Willie Rivera STREET ADDRESS NO P.O. BOX) NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE I have used all reasonable diligence in prepann at ment and to the best of my o ledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the S e of Califor (a that the foreg ng is true d orre °j t - "`' DATE SIGNATU E O RE ORE OR ASSISTANT TREASURER I DAT SIGNATURE OF CONTROLLING EHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT D Statement of Organization CALIFORNIA Recipient Committee FORM 410 INSTRUCTIONS ON REVERSE of 3 COMMITTEE NAME I.D. NUMBER Rivera for City Council 2013 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/ HONE BA NKACCOUNTNUMBER Community 1st Bank ( ADDRESS 4. Type of Committee Complete the applicable sections. Controlled Committee • 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." • 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 (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Willie Rivera City of Bakersfield City Council, Ward 1 2013 0 Nonpartisan SO ❑ Nonpartisan Primarily 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 burl1Inr nICTO1rT mn riT no rnl— A, Anne rr— - SUPPORT El OPPOSE 0- SO DO Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE MBER NAME Rivera for City Council 2013 4. Type of Committee (Continued) General . • Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee []COUNTY Committee ❑ Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY • • Committee List additional sponsors on an attachment. INDUSTRY GROUP OR AFFILIATION OF SPONSOR NAME OF SPONSOR CITY STATE ZIP CODE STREET ADDRESS NO. AND STREET Small • • • • ❑ Date qualified 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have 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 C d S lion 89519 V e ec -- 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.