HomeMy WebLinkAboutSMITH PATRICIA 415 ecipient Committee
Statement of Termination
This form must be COmpared l-w recipient committees
that are eligible to terminate pursuant to Government
CodeSection84214.
Type or print in ink.
I Recipient Committee Information
AREA CODE/DAYTIME PHONE NUMBER
kLL/f~ I.D. NUIdBER
NO, AND STREET
TATE ZIP CODE
Iv Ve~cation
File ~ and one copy of this form with:
Secretary of State
lnlit~-mi letArm
P.O, Box 1467
Soc,.me.to, C~gSeU-,.,,~,IIL IS Ptt is 25
And, if/Ilk. able, file one copy of this fg~m with:
Thecity of coun~poa~ic~;, ,:t any, w.IACCr:,LItELo CiTY CLERK
committee°s cam aign
II Treasurer Information
MAILING ADDRESS OF TREASURER
Date Stared
RECIPIENT COMMITTEE
S TEMINT Of TERM~IATKN
III
NJ3 ANDSTREET
.' f~ C 7/2~ L-:' .. "--~
,,,c_i , - ~'- t
Executed On At By
DATE CITY All) STATE
Executed on AT By
DATE CITY ANO STATE
Ihaveusedallrec;~nablelililmrKminl~_eFk-~nlthisftrtea,cnt_ lhaver.evie~ve~thestatement to the best of my ~now the information contained
TE ~NI) TATE ' ' ~' ~f~NA~TURE ~)F TRE~URI~ ~
Executed on At By '~t~4,~ '
DATE CITY AND SLATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANOIDATE, OR STATE MEASURE PROPONE NT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPOI~ N1
SIGNATURE OF CONTROLLING OFflCEHOI.DER, CANOK)ATE. OR STATE MEASURE PROPONEN1
FOR ItOIMATIOII It!QIIIID TO II1 FROVIED TO YOU PURSIJANT TO THE INFOIIMATIO N PP, ACTICE S ACT Of 1977, SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PIg)VISIONS OF THE POLITICAL REIN ACT,
State of California Fair Political Practices Commission
A. This cOmmittee has ceased to receive contributions and make expenditures;
B. This committee does not anticipate receiving contributions or making expenditures in the future;
C This co,,'ittee has eliminated or declares that it has no intention or ability to discharge all debts, loans received. and other obligations;
O. rnilcc,,,,,;tla hasnosurlNusftmds; and
E. This committee hal filed all campaign Itatements required bY the. Political Reform Act disclosing all reportable transactions.
Effective Date of Termination
DATE FILING OBLIGATIONS WERE COP~PLETED
CITY STATE ZIP CODE
~Z~'~~-'_ ~" "~ 'i - L./ /
] )d-"' , ,/"'-7
AREA CODE/DAYTIME PHONE NUMBER