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C' <br />1 11 <br />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 />General Purpose Committee Not 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 pro -public education Initiatives and candidates <br />a:.7 a.,,�iu.u•.en,u,ul,.xa� List additionat sponsors on an attachment. <br />NAME OF SPONSOR (INDUSTRY GROUP OR AFFILIATION OF SPONSOR <br />STREETADDRESS NO. AND STREET CITY STATE ZIP CODE <br />I <br />CALIFORNIA <br />• - <br />i <br />fele S <br />I.D. NUMBER <br />1347115 <br />Small Contributor Committee <br />Date quaRf *4 <br />S. 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 Government <br />Code Section 89519. <br />— Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are _ <br />subject to Elections Code Section 18680 and FPPC Regulation 18521.5. <br />FPPC Form 410 (Dec/2012) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />