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Statement of Organization <br />Recipient Committee <br />INSTRUCTIONS ON REVERSE <br />COMMITTEE NAME I.D. NUMBER <br />Steven Hemenway for riverside City council Ward 7 2019 <br />4 Type of Commi <br />j ll1 tlenerpl pirrpbse,CommMee';! <br />ontinued <br />Not formed to support or oppose specific candidates or measures in a single election. Check only one box: <br />® CITY Committee 0 COUNTY Committee 0 STATE Committee <br />PROVIDE BRIEF DESCRIPTION OF ACTIVITY <br />11Sponsoted Cd'ii► iitkeejji{1 <br />List additional sponsors on an attachment. <br />NAME OF SPONSOR <br />INDUSTRY GROUP OR AFFILIATION OF SPONSOR <br />STREET ADDRESS <br />NO. AND STREET <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />li <br />1.5M1all "CoMilbut itoi4iMItte011111 <br />❑ // <br />Date qualified <br />5. Termination Reuirements <br />signing the verification, the treasurer, assistant treasurerand <br />a n a, <br />or candidate, officeholder or proponent certii <br />tha <br />11)cit.theollowin <br />h ✓, ..A'kn t..,,., f..., .v <br />condldons have been met <br />• This committee has ceased to receive contributions and make expenditures; <br />• This committee does not anticipate receiving contributions or making expenditures in the future; <br />• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; <br />• This committee has no surplus funds; and <br />• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. <br />-- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government <br />Code Section 89519. <br />-- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - 89518, and are <br />subject to Elections Code Section 18680 and FPPC Regulation 18521.5. <br />FPPC Form 410 (August/2018) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />