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� - r <br /> Statement of Organization � • - � , <br /> F�ec6pient Cvmrnittee • - � <br /> INSTRUCTIONS ON REVERSE <br /> Page 3 of 3 <br /> COMMITTEE NAME I.D.NUMBER <br /> Committee to Elect Ernie Schmidt for Redwood City Council 2013 1357109 <br /> '�°,. . �..n,_ . �,...r . � .��`� �. .��., `.�, .`�. , , k :`� t: _ ., .m , . , .._ ,. a F ., y.a� , o .__ , .,`� ."..a� _�. a- . _ ..�.... � '. ., k„ <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 OFACTIVITY <br /> I <br /> �m • •� s I_ISt�(�t�ti;('i�l���Spot��r.r�.r:�atl cl�dC�l1Y1P_!t� <br /> � _,,__,�.._�_.�..�._. <br /> NAME OF SPONSOR INDUSTRY GROUP OR AFRLIAT�ON OF SPONSOR <br /> STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE a���� <br /> r � i • � a <br /> / � <br /> Date quallHed <br /> . . . . _ . .. . __. _......a <br /> �.�£'���I�i��1i�T1:R!�6�t�l�X@!X#@�'1tS By signing the verification,the#reasur�r;!aSSistant treasurer and/or canditlate,officehoider,or proponenC ceriiiy that ali of the fo!lowing Conditions have uee�i�nei: <br /> o This committee has ceased to receive contributions and make expenditures; <br /> � This committee does rot anticipate receiving cantributions er 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 /> PPPC Form 430(Dec/2012) <br /> FPPC Advice:advice@fppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br />