HomeMy Public PortalAbout01. Form 425 (Jan 1-June 30, 2022)Semi -Annual Statement of No Activity Type or print in ink STATEMENT OF NO ACTIVITY
Y t .-. .
For use by recipient committees that have not received any contributions and have not made any expenditures
during the six-month period covered by a semi-annual statement. Candidate controlled committees formed for
an elective office may not use this form.
See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional information and
information required to be provided to you pursuant to the Information Practices Act of 1977.
1. Committee Information
COMMITTEE NAME
STREET ADDRESS (NO P.O. BOX)
15 D n W v� A;J aAjf_
CITY STATE ZIP CODE AREACODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET
a �>C le
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
2. Period of No Activity
Treasurer(s)
NAME OF TREASURER
JUL 12 2022
CITY CLERK
( OF CLAREMON
For Official Use Only
MAILING ADDRESS— J �J
n �✓fix �1 �
CITY STATE ZIP CODE AREACODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
IiJA
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
No contributions have been received and no expenditures have been made during the period covering the rd�ates below:
Check one of the following boxes and complete the year.iJanuary 1, through June 30, 2tka ❑ July 1, through December 31, 20
3. 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 penalty of perjury under the laws of the State of California that the foregoing is true an t.
Executed on (� t Z
DATE
By
TREASURER
FPPC Form 425 (Jan/01)
FPPC Toll -Free Helpline: 866/ASK-FPPC
866/275-3772