HomeMy WebLinkAboutBCOC 410 AMEND 07/22/16Statement of Organization
Recipient Committee
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Statement Type ❑ Initial
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❑ Termination — See Part 5
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1. Committee Information
NAME OF COMMITTEE
BAKERSFIELD CHAMBER OF CtlMMERCE LARGE DONOR POLITICAL ACTION COMMITTEE
STREET ADDRESS (NO RO, BOX)
MAILINGADDRESS (IF DIFFERENT)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
KEEN KERN
Attach additional information on appropriately labeled continuation sheets.
2. Treasurer and Other Principal Officers
NAME OF TREASURER
NICHOLAS ORTIZ
STREET ADDRESS (NO P.O. BOX)
NAME OF ASSISTANTTREASURER. IF ANY
BOX)
CITY STATE ZIP CODE AREACODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
NICK ORTIZ
STREET ADDRESS (NO P O. BOX)
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of y knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of Califomia the of rue and Correct.
EReculedon -7ZE-/ 4—
PATE EGNArURE OF TREASURER OR ASSISTANT TREASURER
EXecutedon By DnrE
SIGNATURE OF CONTROLLING OFFICOIDOER, CANDOOT OR STATE MEASURE PROPONENT
EXecuteaon
DATE SIGNATURE OF CONTROLLING C£FICEM DER, CANDIORE OR STATE MEASURE PROPOIENT
EXeculedun By
DATE SIGNRURE OF COMROLLING OFFICEIpLCER. CANDIDATE OR STATE MEASURE PROPONENT
etflle tort FPPC Form 610 (Jan/20i6)
www n
FPPC Advice: advlcGWppc.ca.gov (8861275 -3772)
www.fppc."I
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
2 Of 3
BAKERSFIRLD CHAMBER OR COMMERCE LARGE DONOR POLITICAL ACTION COMMITTEE
• All committees must list the financial institution where the Campaign bank amount is located.
CITIZENS BUSINESS BANK I (
ADDRESS CITY 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 CANDIDWEIOFFtCEHOLDER /STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
LURE DISTRICT NUMBER IF APPLICABLE)
YEAR OF ELECTION
Primarily formed to support or oppose speck candidates or measures in a single election. Listbelim:
CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO OR LETTER)
CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
www.netfile.com FPPC Form 410 (JanI2016)
FPPC Advice: advlce @fpPc.ea.gov (90612753772)
www.fPpOca.gov
Statement of Organization
Recipient Committee
-II
INSTRUCTIONS ON REVERSE
Page 3 of 3
BAKERSFIELD CHANBER OF MWERCE LARGE DONOR POLITICAL ACTION COMMITTEE I 1352944
4. Type of Committee (continued)
Not romled to support or oppose specific Candidates ormeasures in a single election. Check only one box:
❑ CITY Corrmlitas ❑ CCUNTYCommittee 0 STATECommittee
SUPPORT OF CANDIDATES AND ISSUES IMPACTING BUSINESS IN CALIFORNIA AND THE BAKERSFIELD /CEDNTRAL VALLEY AREA
'" "®"" List additional sponsors on an attachment.
NAME OF SPONSOR
GREATER BAKERSFIELD
❑ --J--J
Cale qualified
5.Termination Requirements By rgning the verification, the treasurer, assistant treasurer and/or Candidate, officeholder, or proponent certify that all ofthe following cvrditions 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 Code Section 89519.
-- Leftover funds of ballot measure Committees may be used for political, legislative or governmental purposes under Government Code Sections 89611 -
89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
www.nef/lle.eom FPPC Form 410 (Jerd2016)
FPPC Advice: advice@fppc.w.gov (8681275.3772)
www.fppc.ca.gov