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Statement of Organization STATEMENT OF ORGANIZATION <br /> Recipient Committee �' '' � ' . � <br /> •- <br /> INSTRUCTIONS ON REVERSE <br /> Page 3 <br /> COMMITTEE NAME I.D.NUMBER <br /> Elect Tania Sole <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 /> Elect Tania Sole to the City Council of Redwood City <br /> .� • •. . List additional sponsors on an attachment. <br /> NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR <br /> STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE <br /> ' ' ' � � _J� Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a <br /> Date qualfied small contributor committee on January 1,2001,enter 1/1/01. <br /> rJ.Termination Requirements By si�ing tfie verification,the treasurer,assistant treasurer and/or candidate,officeholder,or proponent certity that all oftt�e 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 /> FPPC Fortn 410(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br />