410 Statement of Organization Recipient Committee - Termination 1-2-19 Statement of Organiza#ian ,� � � �5��,� � � . t . � �
Recipient Cvmmittee E�� � s -
Sta#emen#Type ���.�a{ ❑ Amendment � Termination—See#�� � � for Official Use On3y
# 6
� Q Illotyetqualified � �i�',+�.� _ ���� i
or
Q Data quatificatian threshold mat Date c}ualification tMreshold met Date of termination
—/ / / / 12 , 28� 4 � �� ���� v��' ��.�1�i
� l.D. Numfaer
1: Committee information 1407834 2. Treasarer and Other Principal Officers
(if applicabfeJ
NAME OF COMMIiTEE �� NAME OP TREASURER� �
Mahoney for Council-2018 Carolyn Krizek-Mahoney
STREEf AODRESS(NO P.Q.BOXj
FULL MAILING ADDRE55(IF D4PFERENT) STREETA6ORE55(NO P.Q.BOX)
(PA. Bax closed)
COUNTYOF DOMICILE lURI5�IR10N WHERE COMM[TTEE ISACTiVE NAME Of PRiNC1PALOFFILER(5)
Santa Clara Santa Clara County
STREEF ADDRESS(NO P.O.BOX)
❑TY SfATE ZfPCODE AREACODE/PHON�E
Attach additional informafion on appropriatefy laheled continuation sheets.
3`. V ave usa da Il reasanable dif ence in re arFn ; , . ' ,
fg p p ' g this statement and to ti�e best o€�my knowfedge the information contained herein is true and complete. I certify under
penatty of perjury under the laws of the State of
ORSTATEMEASUREPROPQNENF
Executed on gy
6AFE SIGNATllRE OF CONTROLLING OEFICEHOiDER,GANDIDATE,OR STATE MEASURE PROP4NfNT
Executed on gy
� �ATE SIGNATURE OF CONTROLLING OFF1fEHOLDER,CAN�IDATE,OR STATE MEASURf PROPONENT
FPPC Form 4Y0(August/2018)
FPPC Advice:advice@fppc.ca.gov(866j275-3772)
www.fppc.ca.gov
Statement of Qrganization . � - . ,
Recipient Committee • - �
INSTRUCTIONS ON REVERSE
Page 3
COMMITiEE NAME I.D.NUMBER
Mahoney for Council-2018 1407834
4.Type of Comrnittee (co��;nUea� . ; ; �
No#formed to support or oppose specific candidates or measures in a single election. Check on{y one box:
❑ CITY Coromittee ❑ COUMfY Committee ❑ STATE Committee
PROVfDE BRtEF DESCR}P'fION OF ACTiVITY
• • List additionat sponsors on an attachment.
NAME OF SPONSOR 1 NDllSiRY GftOUP OR AFFILIATION OF SPONSOR
STREE7ADDRESS fVO.ANDSTREET CITY STATE ZIPCODf Ai2E4CO�E/PHONE
• 0 /
� /
Date qualified
5.T@CCY11118t'F011 R2C�UIfel17@11'r5 Bysignmgtheverificat�on thetreasurer,'assistant#reasurerantl/orcantlidate;officeholder,orproponentcertifythatailofthefollowingconditionshavebeenmet:;
.. _, . .�, . ._ . . u_.,. �. ._..... _ ...._.. . ,..._.. u._.. ._.. .. ._._..:,.. ,� �_,.,._. ,;> .___.., u� , ..... .,. ... ._. _:. . .....;. .,,._
• 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 ar has no inten�ion or ability to discharge atl debts,loans received,and other obliga�ions;
• This committee has no surplus#unds;and
• This committee has filed a8 campaign statements required by the Political Refarm Rct disclosing all reportable transactions.
-- There are restrictions on the disposition of surplus campaign funds held by efected 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 potitical,legislative or gavernmental purposes under Government Code Seciions 89511-89518,and are
subject to Elections Code Section 18680 and FPPC Regulation 185Z1.5.
FPPC Form 41D(Augast/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov