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Statement of Organization STATEMENT OF ORGANIZATION <br />Recipient Committee ° - ' 4 0 <br />INSTRUCTIONS ON REVERSE <br />Page 3 <br />Redwood City Residents to Protect City Services <br />4. Type of Committee (Continued) <br />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 />List additional sponsors on an attachment. <br />NAME OF SPONSOR <br />STREETADDRESS NO.AND <br />wm ru.r.rn rnag [a�.tnumun:T� <br />❑ JJ <br />Date qualified <br />5. Termination Requirements By signing the venfcation, 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 Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) <br />