Yuri Bohlen For Mayor Poway 2022 410 Termination 12/27/2022Statement of Organization
Date Stamp
CALIFORNIA
Recipient Committee
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M 410
Statement Type El initial El Amendment
® Termination — See Part 5�CEiVE�
For Official Use Only
Q Not yet qualified
or
DEC 2 % 2022
Q Date qualification threshold met Date qualification threshold met
Date of termination
Y OF POWAY
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Committee1. LD. NumberI .,�2.
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asurer and Other
PrincipalOfficers
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NAME OF COMMITTEE
NAME OF TREASURER
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CITY
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STATE
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ZIP CODE AREA CODE/PHONE
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NAME OF ASSISTANT TREASURER, IF ANY
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FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY
STATE
ZIP CODE AREA CODE/PHONE
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
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STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE AREA CODE/PHONE
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Attach additional information on appropriately labeled continuation sheets.
3. Verification
I have used all reasonable diligence in preparing this 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 and correct.
Executed on /A v By
DATE SHWAT�OFTREASURER OR ASS I STANTTREASURER
Executed on ) 2 ?:— 1':':k BY -
DATE SIGNATURE OF CONTROLtMGu OFF CEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice(@fppc.ca.Qov (866/275-3772)
www.fRPc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
General Purpose Committee I Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
® CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
a
• • List additional sponsors on an attachment.
NAMEOFSPONSOR
STREET ADDRESS NO. AND STREET
CITY
USTRY GROUP OR AFFILIATION OF SPONSOR
Page
I.D. NUMBER
P � 3 S
7V
STATE ZIP CODE AREA CODE/PHONE
Smaff Contributor Committee❑ /
Date qualified
TerminationS.
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
— There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to
Government Code Section 89519.
— Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 -
89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (August/2018)
FPPC Advice: advicePfppc.ca.eov (866/275-3772)
www.fppc.ca.gov