Laserfiche WebLink
TERMINATIOc4 <br /> Statement of Termination Typ, or Print In Ink. DaleSlamp <br />.-~ <br /> This form must be completed by officeholders, candidates, and recipient committees <br /> that wish to terminate pursuant to Government Code Section 84214. <br /> A For Official Use Only <br /> <br /> Officeholders and candidates file an original of this form with thc filing officer with <br /> whom they file the originals of their campaign statemems. .. <br /> Committees file an original of this form with the Secretary of State and, if applicable, ;iIY OF REDWOOD ClI¥ <br /> CITY CL~ " <br /> a copy with thc local filing officer. "= <br /> <br /> O~ioeholder or Candidate Terminpfion <br /> OF GOMMI E ~ I*D. NUMaER <br /> I / I Recipient,Committee Termination <br /> <br /> RE~I~J:~fl @US,;~p3~M~I~qESS: / ~..L (Nd. A/~ STREETI <br /> CITY -T CI ~ ..... TE ZIP <br /> <br /> II Intomiation on Office $oughl or Held II Treasurer Inlormali-on ' <br /> OIrFIGi SOUGHT OR NELD~ NAME OF TRI.ASURERa <br /> <br /> LOCATION (IF APPt_ICABLE) / DISTRICT HUIv~ER (IF APPIJC, ABLE) PEflI. L'UdENT ADD~ESS O4: TREASUflE~: (NO. AND STflEEI) <br /> 1 <br /> EFFECTIVE DAlE C:Xc TEflMINATIC~ CITY . STATE ZiP COOG <br /> <br /> AREA COOF..,~DAYTIUE PHOt, IE NLIMBE~ / EFFECTIVE DATE OF TERMINATION: <br /> III Verification III Verification <br /> I have used aH reasonable diligence in preparing this statement. [ have ceased to receive ! have used all reasonable diligence in prep.xring this statement. '1'his conunittee has ceased to <br /> contributions and make expenditures; do not anticipate receiving contributions or repayments of receive conlxibutions and make expenditures; does not anticipate receiving conlxibhtions or <br /> outstanding loans made to others or any other receipts, or making cxpenditt~cs in the future; repayments of outstanding loans made to others or any other receipts, or making expenditures in <br /> have eliminated or dec]ate that I have no intention or Ability to dischatge all debts, loans the future; has eliminated or declatcs that it has no intention or ability to dischatge all debts, <br /> received, and other obligations; have no surplus funds; and have filed all campaign statements loans received, and other obligations; has no surplus funds; and has filed all campaign state- <br /> required by thc Political Reform Act disclosing all reportable Izansactions. meats required by the Political Reform Act disclosing all reportable Izansactions. <br /> I ceztify under penalty o/l~perjury/under the laws of the State of California that the foregoing is[ ccrtif~ under penalty of perjury under the laws of the State of California that thc foregoing is <br /> <br /> ~ DATE / ~ DATE CITf ANO STATE <br /> By TURE O~ omcmo~ER o.c~No~DATE ~ By <br /> <br /> z..- ^, <br /> Ex~culed on <br /> <br /> By <br /> NOTI::: ^ddilional liling obligalions will be incurred it an otticetlolder, eandidal~, or commillet E×eculed on Al <br /> , beglna ralatng or ~pending lunds or r~eives the tor§i~e~ess ol a loan or mp~¥manl$ ol , ~rE ~r n,D ~^'~ <br /> loans made lo others or any other receipts. By <br /> <br /> FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977. SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS OF THE POLITICAL REFORM ACT. <br /> <br /> Slate of California Fair Political Praclices Commission, <br /> <br /> <br />