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HomeMy WebLinkAboutSMITH 410 INITIAL 7/04/12 .,a 4 . N / W co z n (• �'c ' '� - C h , [z ❑ m v m O0 ,---f1101 S. 3 S. y Z () N 13 N? o x 0 0 Z wn i z z m Vo m N Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME BOB SMITH FOR�CITY COUNCIL 2012 STATEMENT OF ORGANIZATION NUMBER �- 4" Type of committee Complete the applicable sections. • r iceholder controlled, also list the elective office sought or held, and candidate, or state measure proponent. If candidate or off . List the name of each controlling affic the election. district number, if any, and the y . List the political party with which each officeholder or candidate is affiliated or check "non - partisan. jointly with another controlled committee, list the name and identification number of the other controlled committee. PARTY . if this committee acts) Y ELECTIVE OFFICE SOUGHT OR HELD YEAR OF ELECTION (INCLUDE- DISTRICT NUMBER IF APPLICABLE) ©-Partisan NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT 2012 Non BAKERSFIELD CITY COUNCIL WARD 4 n Non - Partisan BOB SMITH located (controlled "candidate election" committees only) . List the financ ial institution where the campaign bank account is BANKA NT CCOU NUMBER ZIP CODE R ab ob ank CITY STATE ADDRESS Primarily formed to support or oppose specific candidates or measures in a single election. List below: • ' CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) SUPPORT OPT (INCLUDE DISTRIC T NO.. CITY OR COUNTY, AS APPLICABLE) CHECK ONE E E FPPC Form 410 (April12011) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE e..eiru GnQ r..ITY COUNCIL 2012 4. Type of Committee (Continued) • Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee • • , • List additional sponsors on an attachment. NAME OF SPONSOR GROUP OR AFFILIATION OF SPONSOR Z' 1M r_ STATEMENT OF ORGANIZATION • • • • ❑ Date qualified holder, or proponent certify that all of the following 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, office 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 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 (April/2011) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275-3772)