HomeMy WebLinkAboutForm 410 - Dhand, S. - 2018.08.16 (Termination)Statement of Organization
Recipient Committee
Statement Type ❑ Initial
0 Not yet qualified
or
0 Date qualified as committee
NAME OF COMMITTEE
S. DHAND ID# 1321265
❑ Amendment
Date qualified as committee
I.D. Number
(if applicable)
D (((010 Ad 15, Qr'
0 Termination — See Part 5
STREET ADDRESS (NO P.O. OO%1
CITY STATE ZIP CODE AREA CODE/PHONE
DIAMOND BAR CA 91765
MAILING ADDRESS (IF DIFFERENTt
E-MAIL ADDRESS (REQUIRED) / FAx (OPTIONAL)
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE 15 ACTIVE
Attach additional information on appropriately labeled continuation sheets.
12 ' 31 ' 2017
Date of termination
NAME OF TREASURER
in the office of the Secretary
of the Stale of Califo€TT5
JUL 2501(8
E.
S.DHAND
STREET ADDRESS (NO P.O.80x)
V t 212
CITY STATE ZIP CODE AREA CODE/PHONE
DIAMOND BAR CA 91765
NAME Of ASSISTANT TREASU RER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
NAME OF PRINUPAL OFFICER(S)
STREET ADDRESS (NO P.O.
CITY
STATE ZIP CODE AREA CODE/PHONE
I enaituo d ell reasonable
nder the (laws of the preparing ate of Cas statement
the foregoingthebest true and orrdge the`Informat on contained herein is true andr
of my complete. I certify under
penalty perjury Y
Executed on 01-01-2018 By ti-; err
DATE SIGNATURE DIP TREASURER OR ASSISTANT TREASURER
Executed on 01-01-2018 By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on BY
DATE SIGNATURE OF CONTROLLING OFNCEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 414 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.Ca,gov