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Statement of Organization <br /> Recipient Committee <br /> INSTRUCTIONS ON REVERSE <br /> :OMMITTEE NAME <br /> FRIENDS OF REDWOOD CITY PAC <br /> 4.Type of Committee (Continued) <br /> Not formed to support or oppose specific candidates or measures in a single election. Check only one box: <br /> � CITY Committee ❑ COUNTY Committee ❑ STATE Committee <br /> PROVIDE BRIEF DESCRIPTION OF ACTIVITY <br /> Support candidates and measures promoting a sustainable Redwood City <br /> .. . � . List additional sponsors on an attachment. <br /> NAME OF SPONSOR <br /> STREET ADDRESS NO.AND STREET <br /> ❑ --�—�— <br /> Date qualified <br /> cirv <br /> INDUSTRY GROUP OR AFFILIATION OF SPONSOR <br /> STATE ZIP CODE <br /> STATEMENT OF ORGANIZATION <br /> D.NUMBER <br /> 1266668 <br /> Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a <br /> smail contributor committee on January 1,2001,enter 1/1/01. <br /> 5.Termination Requ irements By signing the verification,the treasurer,assistant treasurer andtor candidate,officeholder,or proponent certify that all of the following conditions have been met: <br /> • This committee has ceased to receive contributions and make expenditures; <br /> • This committee does not anticipate receiving contributions or making expenditures in the future; <br /> • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; <br /> • This committee has no surplus funds;and <br /> • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. <br /> -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to <br /> Government Code Section 89519. <br /> FPPC Form 410 (January/05) <br /> FPPC Toll-Free Helpline: 8661ASK-FPPC(866/275-3772) <br />