HomeMy WebLinkAbout1995 Form 425 Semi - Annual Statement Of No Activity Type or print in ink. STATEMENT OF NO ACTIVITY
Date Sta m p
For use by recipient committees, except controlled committees, that have not received
any contributions and have not made any expenditures during the six -month Period For Official Use Onl
covered by a semi - annual statement. Committees controlled by an officeholder or RECEIVED y
candidate may not use this form.
NOTE: If the committee had, at anytime during the year, any outstanding loans made JAN o 51 996
or received, this form may not be used for the semi - annual statement on which the
"Annual Report of Outstanding Loans" must be completed. CITY CLERKS DEPT.
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)
41 k i Io ,, ;P- � L4 3 t 3 � ZY0l- ✓ \ �?s ES �— 1� — �
CITY STATE ZIPCODE CITY STATE ZIPCODE
RvreC: r 6 t
AREA CODE/PHONE NUMBER AREA CODE /DAYTIME PHONE NUMBER
C, 0- G1L
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.
eo - ', 1, through June 30, 19JS I July 1, through December 31, 19 l�
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 pen
y - yy of perjury under the laws of tth e S tate of California that the foregoing is true and correct.
Executed on I'(o — % At 1 �"n�— , \, y w B v /.[./1/U � /� ✓✓ •"`� _
DATE CITY AND STATE �
SIGNATURE OF TREASURED
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