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HomeMy WebLinkAboutBCOC 410 INITIAL 10/18/12V5, Statemant of Organization Recipient Committee Statement Type ® Initial Not yet qualified ® or --1 1. Date qualified as committee 1. Committee Information Type or print in inky aY ❑ Amendment ❑ Termination — See Part 5 List I.D. number: 2112 10034mb 9: 32 Date qualified as committee Date of Termination (If applicable) NAME OF COMMITTEE r= Bakersfield Chamber of Commerce Large Donor Political Action Committee STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NAME OF ASSISTANT TREASURER, IF ANY Cynthia D. Pollard STREET ADDRESS (NO P.O. BOX) NAME OF PRINCIPAL OFFICER(S) Cynthia D. Pollard STREET ADDRESS (NO P.O. BOX) 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true arr+ --- � 7 Executed on By DATE Executed on DATE Executed on DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING FI EH LD CANDIDATE, OR STATE URE PROPONENT FPPC Form 410 (April/2011) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) r Stat@ment of Organization STATEMENT OF ORGANIZATION Recipient Committee CALIFORNIA INSTRUCTIONS ON REVERSE Page 3 Bakersfield Chamber of Commerce Large Donor Political Action Committee 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 Receive voluntary contributions and make contributions to state and local candidates and committees, supporting the purpose of this committee. List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR Bakersfield Chamber of Commerce Business Organization S I KttI AUDKE55 SIKtEI ❑ —J_J Date quaified S. 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 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: 866 1ASK -FPPC (8661275 -3772)