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, 'H{R M1NATI(3N <br />Statement of Termination Typ, orPrlnllnlnk. I~~D <br />~ls fom~ musl !~ COmldC~d by officchohlcr~, cantli(~lCS, and recipient commlll~ ~ N D F i L E D <br /> . of the Stale of California A Fei OIIicial Uso Only <br /> <br /> Officehoi~rs ~d c~didams file an original of this fo~ wi~h ~e filing officer wi~ ~). ~ <br /> whom ~y file ~c originals of their cmn~ign sm~mcn~. --~ :~ ' ~ ' ' <br /> 1 <br /> 199 <br /> <br /> Comm~l~cs file of ~s fo~ wllh thc S~rch~ of Sm~ and, d apphcab~, gl~ <br /> ~ONG <br /> EU, <br /> 5ecretaw <br /> a ~py wi~ ~e i~al filing officer. <br /> <br />I 011ioeholdar or Oandidalo Tarmi~tion I Reeipient Oo~ittea Termination <br /> <br /> '2 7 ~7, ~~c,S~'(_ ~27 ~. ~~~ <br /> <br />II Inlorm~iion on 0111~ $ou~hl or H~ld II ~r~sur~r Inlor~lion <br /> <br /> ~ ~E ~ ~8~ ] ~ECII~ DAIE ~ IER~I~ <br />III Verification III Vedlicalion <br /> ] have u~ ali Teachable diliaenc: ~ prep~8 ~A slalem~i. ] have ceued m r=eive ] have used 811 re~nable ~liaence ~ prepa~g Lhi; slalemenL ~is co~illee <br /> c~o~ ed make ex~diLa~; do no~ micipa~ ;~eiv~g con~Lio~ or r~a~=u of receive ~n=ibu~o~ ~ m~e ex~d]mres; does ~L eficipa~ receiv~g con~ibu~ons or <br /> ouu~8 lo= made m o~; oT ey o~er Tecei~s, or ma~n8 ex~ndiime; ~ ~ ~mre; Tepa~en~ of ouuLed~8 Joe; m~: lo o~eTs or ey o~=T T~eip~. or m~ing ex~ndiLmes in <br /> have eli~A~ or ~lue ~[ ] h~v: no g~n~on or abili~ Io dbch~ae aB debu. ~= ~: ~luTe; hu elim~at~ ~ d~]~e; ~a iL hu ~ ~[en~on or abi]i~ to dish.a: gl ~bu, <br /> T~iv~, md o~er ob]iaaliou; have no ~qlu; ~d;; ed have fil~ 8]] c~paian ;~menl; !o= [e~iv~, ed o~= oblip~o~; hu no ;qlu; ~n~; ~ hu filed 811 c~paign <br /> T~uk~ by ~ Po]i~ca] Rtro~ Ac~ d~closin; ~1 [:~r~bl: ~=8cdon;. menu requ~ by ~ Poli~cg Refomt AcL d~closin8 ~] Te~;~b]: <br /> I c=~ un~r ~8][y of ~rj~ ~er dee hwi of ~: S~ of C~domia ~8t ~e [oreao~8 i~ ] c~ un~r ~8]ty of ~rj~ u~er ~e law; or ~e SLaLe of Cgiromia ~haL <br /> <br /> By <br /> Exo~lod¢/¢ / Al <br /> ~TE OW ~O ~A~ <br /> <br /> NOTE: A~ti~al filing o~lgaflons will be In~rred If ~ officeholder, ~nd~ate, or ~mmlflee Execut~ ~ <br /> b~ln8 raising or spe~lng fu~s ~ ~elvea the I~glvenes8 gl a ~an or repayments of ~T~ <br /> Io~s made lo others or any o~er receipls. By <br /> <br />F~ IN~R~TI~ REQUI~D lO BE PROVIDED TO YOU ~RSU~ TO THE INFOR~TI~ P~CTICES ACT ~ 1977. SEE I~R~TION ~NU~ ON C~F~GN DI~I ~lJ~ ~O~10~ OF ]H~ ~l I]ICAL REF~M ACT <br /> <br /> Slate of California Fair Politloal Praolloe~ Commission. <br /> <br /> <br />