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Statement of Organization <br />Recipient Committee <br />INSTRUCTIONS ON REVERSE <br />COMMITTEE NAME <br />Redwood City Teacher's Association Political Action Fund <br />4. Type of Committee (Continued) <br /><hyllaAuYdNot 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 />Fund candidates or measures that support public schools <br />�.�.i.,naa,a•rainuuurita:a List additional sponsors on an attachment. <br />NAME OF SPONSOR I INDUSTRY GROUP OR AFFILIATION OF SPONSOR <br />STREETADDRESS NO.AND STREET CITY STATE ZIP CODE <br />�.�uuilk�ia,•i,l:��rwsh•�•nu4lix:r ❑ / 1 <br />Date qualified <br />'TATEMENT OF ORGANIZATION <br />CALIFORNIA <br />. - <br />t <br />Page 3 <br />I.D. NUMBER <br />1347115 <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 (Apri12011 <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) <br />