HomeMy WebLinkAboutBPOA 410 01/13/15 AMENDStatement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or D. number:
Date qualified as committee qualified as committee
(If applicable)
NAME OF COMMITTEE
Bakersfield Police Officers Association PAC
❑ Termination — See Part 5
List I.D. number:
Date of Termination
STREET ADDRESS INO P.O. BOX)
CITY STATE ZIP CWE AREA CODE /PHONE
MAILING ADDRESS (IF DIFFERENT)
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE
Kern
Attach additional information on appropriately labeled continuation sheets.
NAME OF TREASURER
Alex Patino
In Ch office of SQCretary of State
of rho 944P of Caiilornia
JAN 2 p 2015
KEf"
lal
�lM • UJ
�. 2
ICU GjIY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
Todd Dickson - President
STREET ADDRESS (NO P.O. BOX)
I have used all reasonable diligence in preparing this statement and to the best of my knowledge
penalty of perjury under the laws of the State of Calif rn a th a oregoing is true and correct.
Executed on 01/13/2015 By -
DATE SIGNATURE OF TREASURER OR
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
is true and complete. I certify under
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Bakersfield Police Officers Association PAC 1943492
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Bakersfield City Employees Federal Credit Union
ADDRESS
AREA CODE /PHONE
(
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
4. Type of Committee Complete the applicable sections.
• 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
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
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
SUPPORT
0
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization • ' • " '
Recipient Committee •- ,
INSTRUCTIONS ON REVERSE
Pa6e 3
COMMITTEE NAME
I.D. NUMBER
Bakersfield Police Officers Association PAC
943492
4 Type Of Committee (Continued)
General Purpose Committee 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
To support/oppose candidates and ballot measures /propositions of particular interest to the Association's members.
E,J:. List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
CITY
GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
Date qualfied
5. Termination Requirements ft signing the verification, the treasurer, assistant treasurer ardor candidate, officeholder, or proponent certify that all of the following conditions have been rnet
• 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 maybe 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 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov