HomeMy WebLinkAboutSALVAGGIO 415 ecipient Committee
Statement of Termination
This form must be completed by recipient committees
that are eligible to terminate pursuant to Government
Code Section 84214.
Type or print in ink.
Recipient Committee Information
NAME OF COMMITTEE ' ~//~(~,AN~ I.O. NUMBER
C c~r,,r~o'/~c~, _,~/~'~/~'~ '
ADDRESS OF COMMITTEE D STREET
Cff~ S~ATE ZI~ CODE
AREA CODE~AYT~ME PHONE NU~R
IV Verification
RECIPIENT COMMITTEE
STATEMENT OF TERMINATION
WHERE TO FILE: Date Stamp . " , ,
Secretary of State '
Political Reform DivisiOn
P,O. Box 1467 I FOr Official Use Only
Sacramento. Ca, gS812-1467 99 FEB - ! F;',' I,: nq
And, tfaPpllcable, file one copy of thts form w.i..~h~
The city or county officer, if any, who receives tl~e'~
commlttee's campaign d~losure ~tatements.
II Treasurer Information
NAME OF TREASURER
MAILING ADDRESS gF~TEASURER
~ AND STREET
CITY STATE ZIP CODE
III
Effective Date of Termination
DATE FILING OBLIGATIONS WERE COMPLETED
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 committee has eliminated or declares that it has no intention or ability to discharge all debts, loans received, and other obligations;
D, This committee has no surplus funds; and ,
E. This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained
,....,,,0.,, ,,,.,,, ,,.,:'
Executed On At By
DATE CITY AND ~TA11 SIGNATURE OF C~TR~LtNG OFI~EH~D[R, CANDIDAIL ~ STATE ME ASUR~ PROPON[N/
Executed on At By
DATE CITY AND STATE SIGN~TUR~ Of C~TR~L~FKIH~DER, CAbiDYll, OR Slate MEASURE PROPONENt
INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMAT~N P~OlCES A~ OF 1~77, SEE INF~MATI~ MANUAL ~ CAMPA~N DIKL~UR[ ~OViSION5 Of THE POtlTICAt REFORM A~
State of California Fair Pnlltirml