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Statement of Organization CALIFORNIA 41 0 Recipient Committee FORM NSTRUCTIO:NS ON REVERSE Page 3 COMMITTEE NAME Id).NUMBER CORRIN RANKIN FOR CITY COUNCIL 2013 4,Type df Comm ittee ' ;(Coitihiuedj General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee❑ STATE Committee PROVIDE BRIEF DESCRI PION OF A;:iNITY Sponsored Committee List additional sponsors on an attachment. NAVE OF SPONSOR INOUS'RY CROFT OS AFEII.IA ION OF SPONSOR STREET REDRESS NO.AND STREET QTY STATE ZIP CODE Small Contributor Committee / / Dare cuaiified 5, it:cbn• a LI[re i ttS r �.:.. ...�_a ..a_ � , ..:: ::��,. .sfgningCt ie�1et•�rca�rftr�alscafer-�sst�tar�ttre�surerandtoreanc�iidate,��su(der,orprapar+entcertff�r� ata>tofttte�o�ey�tngcrd,ticinsffabeenrrEetl • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts,loans received,and other obligations; • This committee has no surplus funds;and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- 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 Code Section 89519. -- Leftover funds of ballot measure committees may be used for political,legislative or governmental purposes under Government Code Sections 89511-89518,and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410(Dec/2012) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov