410 Statement of Organization Recipient Committee – Termination stamped by SOSStatement of Organization
Recipient Committee
Statement Type ❑ Initial ❑ Amendment
O Not yet qualified
or
O Date qualified as committee
Date qualified as committee
/
NAME OF COMMITTEE
Bharwad for City Council 2016
I.D. Number 0�
(if opplicable) I D
Date Stamp CALIFORNIA
1Li�FORM
�
�EIVF-D AIN® of scale
® Termination — See Part 5In, e a�the 5 Secretary J j ~u5�
� 2— / �� � g 2�1� L � 1 F 73 — u 2018
Date of termination
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (DPTIONAL)
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE 15 ACTIVE
Attach additional information on appropriately labeled continuation sheets.
i
NAME OF TREASURER
Jakshi Sharwad
STIR EET ADDRESS (NO P.O. BOX)
CITY
NAME OF ASSISTANTTREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CO DE/PHONE
NAME OF PRINCIPAL OFFICER{S)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
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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
CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (October/2017)
FP PC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov