HomeMy WebLinkAbout415s RECIPIENT COMMITTEE
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Recipient Committee WHERE TO FILE: Date stamp STATEMENT OF TERMINATION
Statement of Termination File original and one copy of this form with:
3
Secretary of State E ''\\ P,_i U-I'u 4Q RIO
G This form must be completed by recipient committees Political Reform D \ C E I V E U " ?'' SO =' -VI
that are eligible to terminate pursuant to Government P.O.BOx1467 CI. "C C' c'ci'RE'4''G STSiE For Official Use Only
Code Section 84214. Sacramento, ((Bie;�L
CA
11 ( -1467
Type or print in ink. And, if applic`d?e'Copy of thisfIr6 m with: 0 JUN 22 PFD 2: 53
The city or county officer, if an��11((, who ece�g�Ys the
committee's 4L6wrtKdl�fi0ilfre��k�lsif:dts. -
��Ir
I Recipient Committee Information I reasurer Informa6b6ECRETARY QF STATE
NAME OF COMMITTEE I.D. NUMBER NAME OF TREASURER
DEREK D. THOMAS
COMMITTEE TO ELECT STEVEN FORD 962340
MAILING ADDRESS OF TREASURER NO. AND STREET
ADDRESS OF COMMITTEE NO.ANDSTREET 43500 RIDGE PARK DR., STE. 104
29900 VILLA ALTURAS CITY STATE ZIPCODE
CITY STATE ZIP CODE TEMECULA CA. 92590
TEMECULA, CA 92592 AREA CODE/DAYTIME PHONE NUMBER
AREA CODEfDAYTIME PHONE NUMBER (909)676 -3013
(9 -3756 III Effective Date of Termination
DATE FILING OBLIGATIONS WERE COMPLETED
5/31/00
IV Verification
A. This committee has ceased to receive contributions and make expenditures;
B. This committee does notanticipate receiving contributions or making expenditures in the future;
C. Thiscommittee has eliminated or declaresthat it has no intention or ability to discharge all debts, loans received, and other obligations;
D. Thiscommittee has no surplus funds; and
E. This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
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 the State of California tha egoing is true and correct.
Executedon 6/6/00 At TEMECULA, CA By
DATE CITY AND STATE IGNATUREOFT ASURER EK D. THOMAS
6/6/00 TEMECULA CA
Executed on At ' BY - -_
DATE CITY AND STATE SIGNA f RO ING OFFI HOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executedon At By STEVEN J. FORD
DATE CITY AND STATE SIGNATURE Of CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on At By
DATE CITY AND STATE SIGNATURE Of CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 19I7. SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS OF THE POLITICAL REFORM ACT
State of California Fair Political Practices Commissio
u. RECIPIENT COMMITTEE
Recipient Committee WHERE TO FILE: Date Stamp STATEMENT OF TERMINATION
Statement of Termination File original and one copy of this form with:Y „�
This form must be completed b recipient committees Se cretar y State
p Y rec p Po litica l R R Division For Official Use Only
that are eligible to terminate pursuan tto Government P.O. Po Box 1a8T ' ”
Code Section 84214. Sacramento, CA 95812-1467
Type or print in ink. And, if applicable, file one copy of this form with: 06`2p �OOp
The city or county officer, if any, who receives the 07: 3
committee's campaign disclosure statements. 4 Re V
I Recipient Committee Information II Treasurer Information
NAME OF COMMITTEE I.D. NUMBER NAME OF TREASURER
COMMITTEE TO ELECT STEVEN FORD 962340 DEREK D. THOMAS
. MAILING ADDRESS OF TREASURER NO. AND STREET
ADDRESS OF COMMITTEE NO. AND STREET 43500 RIDGE PARK DR., STE. 104
29900 VILLA ALTURAS CITY STATE ZIPCODE
CITY STATE ZIPCODE TEMECULA, CA.92590
TEMECULA, CA 92592 AREA CODE /DAYTIME PHONE NUMBER
AREA CODE /DAYTIME PHONE NUMBER (909)676-3013
(909)676 -3756 III Effective Date of Termination
DATE FILING OBLIGATIONS WERE COMPLETED
5/31/00
IV Verification
A. This committee has ceased to receive contributions and make expenditures;
B. This committee does not anticipate receiving contributions or making expenditures in the future;
C. This committee has eliminated or declares that it has no intention or ability to discharge all debts, loans received, and other obligations;,
D. This committee has no surplus funds; and
E. This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
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 the State of California tha egoing is true and correct. _
6/6/00 TEMECULA, CA
Executed on At By
DATE CITY AND STATE IGNATUREOFT=ERCR D. THOMAS
6/6/00 TEMECULA, CA
Executed on At By ._�
DATE CITY AND STATE SIGNA f WRO KING OFFI HOLDER, CANDIDATE. OR STATE MEASURE PROPONENT
Executed on At By STEVEN J. FORD
DATE CITY AND STATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on At By
DATE CITY AND STATE .. SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977, SEE INFORMATION MANUAL ON CAMPAIGN DISC LOSURE PROVISIONS OF THE POLITICAL REFORM ACT.
State of California Fair Political Practices Commission