410 Edwards CC W1 (05-21-18) Initial_R

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Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Erin Edwards for City Council 2019 4. Type of Committee (Continued) Genera' 11Purposo Committee J PROVIDE BRIEF DESCRIPTION OF ACTIVITY :!Sponsored Commitee CALiI',t7RNA F -u RI's ar �. Not formed to support or oppose specific candidates or measures in a single election. Check only one box: 0 CITY Committee 0 COUNTY Comrnittee 0 STATE Committee 0 Political Party/Central Committee List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NDUSTRY GROUP OR AFFILIATION OF SPONSOR NO. AND STREET CITY STATE 2)P CODE AREA CODE/PHONE Small Contributo lCommittee Date qualified 5. Termination Requirements By signing the verifi:ation, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been met: • This committee has ceased to receive contribution:; and make expend tures; • 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 carr paign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. lefer to Government Code Section 89519. -- Leftover funds of ballot measure committees may be used for polit cal, legislative or governmental purposes under Government Code Sections .39511- 89518, and are subject tc Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (February/2018) FPPC Advice: advice@ fppc.ca.gov (866/275-3772) www.fppc.ca.gov