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Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br />Type or print in ink. <br />Statement covers period Date of election if applicable: <br />from 01/01/2 10 (Month, Day, Year) <br />0 <br />SEE INSTRUCTIONS ON REVERSE I through 10/16/2010 <br />1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. <br />❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure <br />Q State Candidate Election Committee Committee <br />Q Recall Q Controlled <br />(Also Complete Part 5) 0 Sponsored <br />x❑ General Purpose Committee (Also Complete Part 6) <br />® Sponsored ❑ Primarily Formed Candidate/ <br />Q Small Contributor Committee Officeholder Committee <br />Q Political Party/Central Committee (Also Complete Part 7) <br />3. Committee Information ' I.D. NUMBER <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COM <br />Firefighters for Balanced Budgets and a Safe Bakersfield <br />STREET ADDRESS (NO P.O. BOX) <br /> <br />CITY STATE ZIP CODE AREA CODE/PHONE <br /> ( <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br /> <br />CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />2. Type of Statement: <br />Date Stamp <br />2010 OCT 22 Al I <br />® Preelection Statement <br />❑ Semi-annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />COVER PAGE <br />Page 1 of 16 <br />For Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd-Year Report <br />❑ Supplemental Preelection <br />Statement - Attach Form 495 <br />Treasurer(s) <br />NAME OF TREASURER <br />Shawnda Deane <br />MAILING ADDRESS <br /> <br />CITY STATE ZIP CODE AREA CODE/PHONE <br /> ( <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />( <br />4. Verification <br />have used all reasonable diligence in preparing and reviewing this statement an o es y knowledge the' formatio con fined herein and in the attached schedules is true and complete. I certify <br />under penalty of perjury under the laws offtthee State of California that the foregoi rue and rrect. <br />Executed on O ao I l v By <br />Date <br />Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor <br />Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />Executed on By Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent <br />FPPC Form 460 (January/05) <br />FPPC Toll-Free Helpline: 8661ASK-FPPC (866/2753772) <br />State of California <br />