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,c r� <br />Statement of Organization STATEMENT OF ORGANIZATION <br />Recipient Committee CALIFORNIA <br />FORM 410- <br />INSTRUCTIONS ON REVERSE <br />Page 3 <br />COMMITTEE NAME I.D. NUMBER - <br />Redwood City Teachers Association Political Action Fund <br />I <br />4. Type of Committee (Continued) <br />I �hunaui r snniva:ae. ruuiiiiu Not formed to support or oppose specific candidates or measures in a single election. Check only one box: <br />i ® CITY Committee ❑ COUNTY Committee ❑ STATE Committee <br />I <br />I <br />PROVIDE BRIEF DESCRIPTION OF ACTIVITY <br />I <br />Fund pro-public education initiatives and candidates <br />l7 •iu,tiY.�.u.k�ir,nuANtaa1 List additional sponsors on an attachment. <br />i <br />NAME OF SPONSOR (INDUSTRY GROUP ORAFFILIATION OF SPONSOR <br />I STREETADDRESS NO. AND STREET CITY STATE ZIP CODE <br />�Q,ualkhu,nAi��naah.�nuuiri:�ea � ! / <br />Date qualified <br />5. 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: <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 (April/2011) <br />FPPC-T611-Free-Helpline: <br />