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Statement of Organization <br /> Recipient Committee <br /> INSTRUCTIONS ON REVERSE <br /> Committee to Elect Kevin Bondonno <br /> 4.Type of Committee �co����ea� <br /> Not fomied 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 OFACTIVITY <br /> . . • . List add�ional sponsors on an attachment. <br /> NAME OF SPONSOR <br /> CITY <br /> GROUP OR AFFILIATION OF SPONSOR <br /> STATEMENT OF ORGANIZATION <br /> Page 3 <br /> 1297998 <br /> . . . . <br /> -J_J__ <br /> Date qualifled <br /> rJ.Termination Requirements By signing the verification,the treasurer,assistant treasu�er andlor candidate,offic:eholder,or proponent certify that aA of the folbwing conditions have besn 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 /> -- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - <br /> 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. <br /> FPPC Form 410(JuneN09) <br /> FPPC Toll-Free Helpline: 866/ASK-FPPC(866/275-3772) <br />