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Statement of Organization CALIFORNIA <br /> Recipient Committee FORM 410 <br /> INSTRUCTIONS ON REVERSE <br /> Page 3 <br /> COMMITTEE NAME LD. FIUMBER <br /> Jason Galisatus for Redwood City Council 2022 FPPC#1408859 <br /> 4. Type of Committee (Cnhdnuedj <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 /> List additional sponsors on an attachment. <br /> NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION DF SPONSOR <br /> Si REETADDRESS No AND STREET CITY STATE LIP CODE AgEA CODE/PHONE <br /> Date quahfirc <br /> .Y. Termination Requirements 8y signing the verification,ihe tnaasurer,asisgnF treasurer andforcandiddte,.ofFTcehgldec, or proponermce"that aF ofthefollo irs conditionshavebeen mery <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 (August/2018) <br /> FPPC Advice: advice @fppc.ca.gov (866/275-3772) <br /> www.fppc.ca.gov <br />