Umhofer 02-09-2018 Intial Not-Qualified 410

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Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME 4. Type of Committee (Continued) �'+•••�•�"��••••^Tya•�•^•^y^�� N}{ojrformed to support or oppose specific candidates or measures in a single election. Check only one box: ITy Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party/Central Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY .......... —&........ 1•••— List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET '• i•� •Wig•uwnA• ❑ Cm IIN W STRY GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE CALIFORNIA, i RM �3 • I NUMBER AREACODE/PNONE Dale WRRed S. Termination Requirements By signing the Verification, the treasurer,asslstanttreasurer and/or candidate, officeholder, or proponent certify that all of the following conditions haw been TUBE: • 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 (October/2017) Clear Page Print FPPC Advice: advice@fppc.ca.gov (8 6 6 /175 3 7 72) www,fppc.o.gov