425 Statement of No Ativity 07-12-2010 Type or print in ink STATEMENT OF NO ACTIVITY
Semi - Annual Statement of No Activity
For use by recipient committees that have not received any contributions and have not made any expenditures j For Official Use Oaiy
during the six -month period covered by a semi- annual statement. Candidate controlled committees formed for }
an elective office may not use this form. J 1 L1010
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. u PE RT I N d C ITY C LEF K
I.D. NUMBER
1. Committee Information i 2 i!r 7 Tr
COMMITTEE NAME NAME OF TREASURER
MAILING ADDRESS
STREET ADDRESS (NO P.O. `BOX) I
a,a yS� " � . l�lG✓aCW ,�� t CITY STATE ZIP CODE AREA CODE /PHONE
C,�Pte , C A JScv tI z1o ,7sU -Aas
CITY tt-- STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY
C o p e_1 CA 7 0 14 yal-25 101
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX /E -MAIL ADDRESS OPTIONAL: FAX /E -MAIL ADDRESS
2. Period of No Activity
No contributions have been received and no expenditures have been made during the period covering the dates below:
Check one of the following boxes and complete the year. (January 1, through June 30, 20 _L0 OJuly 1, through December 31, 20
3. Verification
I have used all reasonable diligence in preparing this statement. 1 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 and correct.
Executed on ��� Ll o By _
DATE SIGNATURE OF TREASURER/ASSISTANT TREASURER
FPPC Form 425 (JanK
FPPC Toll -Free Heipline: 866 1ASK -FPI
8661275 -31