HomeMy WebLinkAbout1989 d STATEMENT OF TERMINATION
This form must be completed by candidates, officeholders or
recipient committees that wish to terminate pursuant to
Government Code Section 84214.
�`- IT
Form 415
1989
C 1w - 1D4 OFFICIA) NI
USE OT
(Type or Print in ink)
RECIPIENT COMMITTEE: (COMMITTEES FILE ORIGINAL AND ONE COPY OF THIS FORM WITH THE SECRETARY OF STATE AND, IF APPLICABLE, A COPY
WITH THE LOCAL FILING OFFICER.)
NAME OF COMMITTEE: La TELIYRER
Committee to Elect Patricia H. Birdsall for City Council 891031
ADDRESS OF COMMITTEE: Ma AND STFAET CITY STATE EV co" AREA C09911"CIM NUMRLR
42041 Avenida Alvarado Temecula, CA 92390 (714) 676 -3642
NAME OF TREASURER:
Linda Becker
PERMANENT ADDRESS OF TREASURER; NO.AM(TSTREfT CITY STATE 1W COD" AMACOMMUSIMSSPHOWNUMISER
43214 Blackdeer Loop POBOX 1207 Temecula, CA 92390 (714) 676 -7487
VERIFICATION
I HAVE USED ALL REASONABLE DILIGENCE W PREPARING THIS STATEMENT. THIS COMMITTEE HAS CEASED TO RECEIVE CONTRIBUTIONS
AND MAKE EXPENDITURES. DOES NOT ANTICIPATE RECEIVING CONTRIBUTIONS OR REPAYMENTS OF OUTSTANDING LOANS MADE TO OTHERS OR
ANY OTHER RECEIPTS OR MAKING EXPENDITURES IN THE FUTURE, HAS ELIMINATED OR HAS DECLARED THAT IT HAS NO INTENTION OR ABILITY
TO DISCHARGE ALL DEBTS, LOANS RECEIVED AND OTHER OBLIGATIONS. HAS NO SURPLUS FUNDS, AND HAS FILED ALL CAMPAIGN STATEMENTS
REQUIRED BY THE POLITICAL REFORM ACT DISCLOSING ALL REPORTABLE TRANSACTIONS.
I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CAUFgMKTHA HE FOREGOING ,1 - EEE AND CORRECT.
EXECUTED ON 1-31 -90 AT Temecula, CA BY L-✓ '�C'.✓
R1ATE) (CITY TEND STATE) TS16MATUAE OF TREASURER)
EXECUTED ON AT BY
FMtiE) (CITY AND STATE) (SIGNATURE Of CONTR011I1W CANDIDATE. OfFIC EHOLOEROR STATE MEASURE PROPONENT)
EXECUTED ON A T BY
SAM) IOTY ARID STATES tkfi"TURE OF CONIROEEIMG CANOIDATE.OFFICEFIOLDER OR STATE MEASUFA MOFOM ENT)
EXECUTED ON AT BY
(IIATE) RITY AND STATE) (RGNAIUM OF CONTROLLNLG CAMMOATE.OFFNIHMIMR OR STATE WASLME PROPONENT)
TO TERMINATE STATUS ASA CANDIDATE OR OFFICEHOLDER: (CANDIDATES AND OFFICEHOLDERS FILE AN ORIGINAL OF THIS FORM WITH
THE FILING OFFICER WITH WHOM THEY FILE THE ORIGINALS OF THEIR CAMPAIGN STATEMENTS.)
NAME OF CANDIDATE OR OFFICEHOLDER: OFFICE SOUGHT OR HELD (INCLUDE L"AT"
AND MTMCT NDMeER N AIWUCA E)
Patricia H. Birdsall City Council Member
RESIDENTIAL OR BUSINESS ADDRESS: NO.AIID CITY STATE DRCOOE.. ANA CCwF?NONENUMBER
42041 Avenida Alvarado Temecula, CA 92390 (714) 676 -7487
VERIFICATION
1 HAVE USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT. I HAVE CEASED TO RECEIVE CONTRIBUTIONS AND MAKE
EXPENDITURES; DO NOT ANTICIPATE RECEIVING CONTRIBUTIONS OR REPAYMENTS OF OUTSTANDING LOANS MADE TO OTHERS OR ANY OTHER
RECEIPTS OR MAKING EXPENDITURES IN THE FUTURE; HAVE ELIMINATED OR HAVE DECLARED THAT I HAVE NO INTENTION OR ABILITY TO
DISCHARGE ALL DEBTS, LOANS RECEIVED AND OTHER OBLIGATIONS; HAVE NO SURPLUS FUNDS; AND HAVE FILED ALL CAMPAIGN STATEMENTS
REQUIRED BY THE POLITICAL REFORM ACT DISCLOSING ALL REPORTABLE TRANSACTIONS.
I CERTIFY UNDER PENALTY OF PENURY UNDER THE LAWS OF THE STATE OF CALIFORN TAT THE FOREGOING IS TRUE AND CORRECT.
EXECUTEDON 1 -41 -9O AT TamerTla T CA BY 1-.
(GATE) (CITY MCI STATE) OIGMATUN Of CANDIDATE OR OfFICENOLOEN
NOTE: ADDITIONAL FILING OBLIGATIONS WILL BE INCURRED IF A CANDIDATE OR COMMITTEE BEGINS RAISING OR SPENDING FUNDS OR
RECEIVES THE FORGIVENESS OF A LOAN OR REPAYMENTS OF LOANS MADE TO OTHERS OR ANY OTHER RECEIPTS.
FOR INFORMATION REQoUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACr OF 1977, SEE 'INFORMATION MANUAL ON
CAMPAIGN OISCI.OSURE PROVISIONS OF THE POLITICAL REFORM ACT.'