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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Ck" j TSUMQ UMM�TTFE -rD ELIFcT POp GiTJ CRjJGI L
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
0 CITY Committee 0 COUNTY Committee 0 STATE Committee
PROVIDE BRIEF OESCRIP I ON OF ACTIVItt
E� Ustadditionalsponsors onanattachment.
STRUT ADDRESS
Smolt Contributor commldee
°O STATE IIP CODE AREACOOF7PNONE
This committee has ceased to receive contributions and make expenditures;
This committee does not anticipate receiving contributions or making expenditures in the future;
This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
This committee has no surplus funds; and
This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
— There are restrictions on the disposition of surplus campaign funds held by elected ofhcers who are leaving office and bydefeated candidates. Referto
Government Code Section 89519.
— Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 -
89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 430 (Augusty2016I
FPPC Advice: advice@fppc,u.gov (66612753772)
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