Borgens 01-05-2015 Initial Not Qualified 410

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3tatement of�rganization STATEMENT OF ORGANIZATION Reciplent Committee � 1 INSTRUCTIONS ON REVER6E pp�� COUMITTEE NAME .D.NUMBER Committee to Elect Janet Borgens Redwood City Counci12015 4.�T�/p8 OI�COthifllH'�8@ (Continued) �� Not formed to support or oppoae speciflc candidates or meesurea In a singb election. Check anly one box: � CIT'f Commlltee ❑ COUNTY ComMlts� ❑ SUTE Commitbs pROVIGE BRIEF DESCRIPTION OP ACTNITY Redwood City City Councll Election 2015 � List eddlilonal aponaors on an aNachment. NAME OF 3PON&OR INDUSTRY OROUP OR AFFILIATION OF SPONSOR 3TREET AODRE88 N0,ANd STREET CITY 3TATE ZIPCODE � � � II ❑ ___!`_l Chedc box and provide the date ihis commttlea quaHfied aa e amall coMributor committee, If tha commiltee qusllfied es a Date quallfldd smalicontributorcomrr�ttee onJanuary 1,2001,enter 1H/01. 5.Te rmination Requf remenls ey eig�i�u,e��uo�,ihe troeaurer,aaslstant treasurerand/or c�ndldate,olhceholder,or proponerit oeriitythnt ell ofthe foilowing candidone have been met; • This committes has ceased to receive contributions and make expenditures; • Thia comrnitte�o 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 comrnittee has no surplus funds;and • Thi�committee has filed ali campeign statements required by the Political RefoRnAct 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. FPPC Form 410(Januaryl05) FPPC Toll-Free Helpline:888fASK-FPPC�B86/276-3T72)