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HomeMy WebLinkAbout2015_01_05 Form 410 Termination - John ChenStatement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified 0 or / / Date qualified as committee (— Amendment List I.D. number: / / Date qualified as committee (If applicable) RI Termination — See Part 5 List I.D. number: f 1370979 12 / 31 / 14 Date of Termination 1. Committee Information NAME OF COMMITTEE CHEN FOR SARATOGA CITY COUNCIL 2014; FRIENDS OF STREET ADDRESS (NO P.O. BOX) CITY Saratoga STATE ZIP CODE Date Stamp ECE vED AND ALEC ie office of the Secretary of Staff: of the State of CrOfortii DEC 19 2014 2. Treasurer and Other Principal Officers NAME OF TREASURER Chiachia Lo STREET ADDRESS (NO P.O. BOX) AREA CODE/PHONE CITY CA 95070 ( Saratoga MAILING ADDRESS (IF DIFFERENT) FAX / E-MAIL ADDRESS COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Santa Clara County City of Saratoga Attach additional information on appropriately labeled continuation sheets. STATE ZIP CODE AREA CODE/PHONE CA 95070 ( NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of C.lifornia that the foregoing is true and correct. Executed on ! l t ` //r." (V By DATE Executed on Executed on By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT i.2 l 142 f ti' By DATE SI OF TREASURER OR ASSISTANT TREASURER SIGNATURE O'c'ONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT DATE Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov