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Statement of Organization CALIFORNIA 41 0 <br /> Recipient Committee FORM <br /> INSTRUCTIONS ON REVERSE <br /> Page 3 <br /> COMMrrT.-E NAME I hur,?HER <br /> CORRIN RANKIN FOR CITY COUNCIL 2013 <br /> 4;Type bf Committee' <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 DESCRIPTSIN OF ACT VITY <br /> Sponsored Committee List additional sponsors on an attachment. <br /> NAME OF SPONSOR INDUSTRY GROUP OR AFFI'.IA'ION OF SPONSOR <br /> STREE-ACDRESS NO.AND STREET CITY STATE ZIP CODE <br /> Small Contributor Committee <br /> 'late nuaqt <br /> ..�:,... r ._-.. n..#;'� ,....r-'. _.� .i3`�t..:yL >a;"' "..'..:.. .,.: ..P.,...:� *4.`,..z ,.x .,,..p,•. ., 3ti, <br /> S�Te na�tt ut emend _ ; sl ningt ,s <br /> _�,., 3. �,,�� ,�, .�„�.�w_ ,s'�� �� �. � � ..__ ,� �._ � ,� ���_� ,i�,offli�#ahi�r��r pr4panerrt cel**alt of° 6:1t4vingrdl0nt 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 />