HomeMy WebLinkAbout1996 Form 425 Semi-Annual Statement of'No Activity Type or print in ink. Date Stamp STATEMENT OF NO ACTIVITY
For use by recipient committees, except controlled committees, that have not received W=
any contributions and have not made any expenditures during the six-month period RECEIVED For Official Use Only
covered by a semi - annual statement. Committees controlled by an officeholder or
candidate may not use this form. ,JAN 11 1997
NOTE: If the committee had, at anytime during the year, any outstanding loans made
or received, this form may not be used for the semi - annual statement on which the CITY CLERKS DEPT.
"Annual Report of Outstanding Loans" must be completed.
I Recipient Committee Information
NAME OF COMMITTEE I.D. NUMBER NAME OF TREASURER
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ADDRESS OF COMMITTEE (NO. AND STREET) PERMANENT ADDRESS OF TREASURER (NO. AND STREET)
CITY STATE ZIP CODE CITY STATE ZIP CODE
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AREA CODE/PHONE NUMBER AREA CODE /DAYTIME PHONE NUMBER
II Period of No Activity
No contributions have been received and no expenditures have been made during the period covering the dates below:
Check one of the following boxes and complete the year.
ErJanuary 1, through June 30, 19 4 G [July 1, through December 31, 19
III Verification
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 herein is true and complete. I certify under penalty of perjury under the laws of t State of California that the foregoing is true and correct.
Executed on I I - T 1 At QL1`tC- Crl By
DATE CITY AND STATE SIGNATURE OF TREASURER
FOR INFORMATION REWIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977, SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS OF THE POLITICAL REFORM ACT
State of California Fair Political Practices Commission