The URL can be used to link to this page

Home My WebLink AboutCC2024-06 - Henry Male for Town Council in Fountain Hills - Committee Termination Statement 2024Term_Stint_Eng.Span_Nov2016.pdf I Date: -i,© COMMITTEE INFORMATION: Committee name: Mailing address: Email address: Phone number: Websile: file:///C:AIsers/Bob/AppData/Local/Microsoft/WindowsANetcache/... STATE OF ARIZONA COMMITTEE TERMINATION STATEMENT COMMITTEE ID NUMBER I -__-_I --------.--------- 1--. I .--..--------... I ------ I ...----------.----.-.. I ---------- I-I -I ----------- I ---------.------- ` .----------- _--_.-, _.'` .________.\,L#,8h /{„ , rfeo -- 88z ` 0 Chairperson name Treasurer: DECLARATION AND SIGNATURES: I declare under penalty of perjury that the foregoing information is true and correct. I further declare that: (1) the committee will no longer receive any contributions or make any disbursements; (2) the committee either (a) has no outstanding debts or obligations. or (b) has outstanding debts or obligations that are all more than five years oid, and the commitlee's cliedilors have agreed to discharge the debt.s and obligations and have agreed {o the termination Of the comm.rttee; @) any surplus monies have been dispesecl Of and that the committee has no cash on hand; ?hd (4) all contributions and expendilures have been reported, including any dispceal of surplus monies. Chairperson's signature: Treasurer's signature: iE- Candidate's signature (if applicable): Date: \D-,9 Date: i i - Date.. (C?-2;G-20urf \ Ariz:ona Secretary of State Revision 11/5/16 1of2 9/27/2()24, 6:53 PM Electronically Filed Town Clerk's Office October 28, 2024 at 10:42 p.m.