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Statement of Organization <br />Recipient Committee <br />INSTRUCTIONS ON REVERSE <br />COMMITTEE NAME <br />Jalani Bakari for Riverside City Council Ward 3 2019 <br />li luull;ij illll IIT IIII i�llil <br />i rir1T is q,i <br />FORIVII1 jlll '11, <br />i 11111.i ii <br />4` <br />General Purpose' ICorp►' iittee 1111 <br />trued <br />yy � <br />Ili <br />Not formed to support or oppose specific candidates or measures in a single election. Check only one box: <br />0 CITY Committee 0 COUNTY Committee 0 STATE Committee <br />PROVIDE BRIEF DESCRIPTION OF ACTIVITY <br />S161217,5°tP icor Titteell <br />List additional sponsors on an attachment. <br />NAME OF SPONSOR <br />NDUSTRY GROUP OR AFFILIATION OF SPONSOR <br />STREET ADDRESS <br />NO. AND STREET <br />CITY <br />STATE <br />ZIP CODE AREA CODE/PHONE <br />� I n i t iliu <br />u�� <br />ce6t rbuto6 ;Coni rttee i l <br />0 / / <br />Date qualified <br />�a3z <br />.;7ermination Re ulrementS�». ��:S,,sr nln t,e�ver cation the;trasur ..assl5tanttreasurerand ori <br />.... ,.., »., .• .,fi.�ssx ., , at»..as....,.,. . •, �,.u.aa§ ��a:t*�.x........�.a».��i��...z�•,,. �, �,• w , e, .t���Es;:,, ,,., . , „ �xav ,<.,.... <E�.,.....u• <br />andi <br />ice ho(cCe <br />Of,proponen,. <br />atVis$ 93�>ff <br />all of the fag condlti9ns <br />ave <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 />