HomeMy WebLinkAboutAlan Magazine - Termination Statement1 1-7-09-14 P04:26 I
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POLITICAL COMMITTEE
TERMINATION STATEMENT
A.Ft.S.SS 16-914 and 16-915.01 mpC 2o)4d$
NAME OF POLITICAL COMMITTEE
ADDRESS (NUMBER.&STREEfP",, ,
-fSr-Ct >S
CITY
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MAILING ADDRESS (IF DIFFERENT FROM ABOVE)CITY STATE ZIP
COMMITTEE FAX #COMMITTEE TELEPHONE #.~~T
NAME OF SPONSORING ORGANIZATIONNAMEOFSPONSORINGORGANIZATIC OR CANDIDATE AND OFFICE
COMMITTEE E-MAIL ADDRESS^-
ADDRESS OF SPONSORING ORGANIZATION EMAIL ADDRESS AND FAX #
Select the boxes that apply:
A.J5<Q This is to certify that all contributions received and all expenditures made on behalf of the political committee
'indicated above have been reported as required by A.R.S.§16-913.We further certify that the political committee
will no longer receive any contributions or make any disbursements,that the committee has no outstanding debts
or obligations,and that any surplus monies have been disposed of pursuant to A.R.S. §16-915.01.
Please mark the appropriate statement below to indicate which campaign finance report states the disposition
of any surplus monies.
Kj The disposition of surplus monies was submitted on the campaign finance report filed on:$y^//j5//^f-
•The dispositionof surplus monies is reported on the attached campaign finance report.
B. This committee has terminated its activities in the above-named jurisdiction. The undersigned chairman and
treasurer hereby attest that it is the intent of this committee to remain active in other jurisdictions and that all
remaining monies of this committee shall be used in other jurisdictions.
C. | ]This committee has transferred the committee's debtsand obligations toa subsequent committee.
Please enter the full name and ID#of the committee into which debts and obligations have been transferred.
Name of Committee:
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Printedname of Gbirman and
iignature of Chairman
ID#
^J-^rrtA SU h)^J~.certify
Printed narrp ofTreasurer
penalty of perjury that this statementof termination pursuant to A.R.S. §16-c914 is true and complete.
under
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