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RECIPIENT COMMITTEE <br /> STATEMENT OF TERMINATION <br />Recipient Committee WHERE TO FILE: <br /> Date <br /> Stamp <br />Statement of Ter mEn ation File original and one copy of this form with: <br /> Secretary of State [~ ~ ~ ~ ~ ~ <br />This form must be completed by recipient committees Political Reform Division <br />that are el igible to term i nate pursuant to Government P.O. Box 1467 ~' For Official U~e Only <br />Code Secti on 84214. Sacramento, CA 95812-1467 <br /> ! <br /> <br /> Type or print in ink. And. if applkable, ft~ one ,opy of this <br /> The c~ty or county officer, if any, who receives thl <br /> commuteR's cam paign disclosure statements. <br /> ~ 0F REDWOOD O~ <br />I Recipient Committee lnformation II Treasurer <br /> NAME OF COMMITTEE ll.D. NUMBER NAME OF TREASURER <br /> ! <br /> C'~,11,1),,v ~ ; r~.~.~ ~ ~c.L,,~,~ MAILINGADDRESSOFTREASURER NO. ANDSTREET <br /> <br /> c,T z,.coo <br /> AREA CODEOAYTIME PHONE NUMeEe <br /> AREACODE~AYTIME PHONE NUMBER ~'~ ~ ~!) '~ )~ ~ <br /> & ~ ~ ~l~-~' ;~ ~ III Effective Date of Termination <br /> DATE FILING OBLIGATIONS WERE COMPLETED <br /> , <br /> <br /> ~. lhi~ {ommitt~ h~ r~a~d to r~r~i~ rontribution~ ~nd mak~ <br /> <br /> 8. lhi~ {ommitt~ do~ not ~ntici~,t~ re{~i~in~ ~ontdbutiom or m~kin~ ~x~nditur~ in lh~ <br /> lhi~ ~ommitt~ h~ ~imin~t~d or d~d~r~ that it h~ no intention or ~bilit~ ~o d i~{h~r~ ~ll d~bt~, Io, m r~{~i~d, ~nd other obi <br /> lhi~ommitI~ h~ no~urplu~ {und,; <br /> [. Ihi, {ommitt~ h~ filed ~ll {~mp~iCn ~l~t~m~nt~ r~quir~d b~ th~ ~oliti~al R~form ~t di~do~in~ ,1~ r~b~ tr~n~artiom. <br /> <br /> DA~E CiTY ~ ~1ATE ~ - - ~ ' ~NATURE OF TREASURER <br /> <br /> DATE CITY A~ STATE ~TURE OF CONTR~LING OFFICEH~DER, ~NDIOATE, OR ~TATE MEASURE PROPONENT <br /> <br /> Executed on At By <br /> DATE CITY A~ STALE SIG~T~E ~ C~ROLLING OFFICEHOLDER, ~NDIDATE, OR ~IATE MEASURE PROPONENT <br /> <br /> Executed on At By <br /> OIlY AND 5TAT~ SIG~T~E ~ CONTROLLING OFF ICEHOLDER, ~NDIDATE. OR STATE MEASURE <br /> <br />FOR INf~MA11ON REQUIRED 10 BE PROVIDED TO YOU PURSUAN1 TO THE INFORMATION P~CTICES ACT O~ I~77. SEE INFORMATION MAN~AL ~ CAMPA~N DISCLOSU~ PROVISIONS OF THE POLITICAL R~F~M A~ <br /> <br /> State of California Fair Political Practices Commission <br /> <br /> <br />