425 Semi-Annual Statement of No Activity 7-1-17 to 12-31-17Semi -Annual Statement of No Activity
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For use by recipient committees that have not received any contributions and have not made any expenditures €
during the six-month period covered by a semi-annual statement. Candidate controlled committees formed fo luI
an elective office may not use this form. AN 2018
See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional information t
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information required to be provided to you pursuant to the Information Practices Act of 1977. PTi V i.E
I.D. NUMBER
1. Committee information 1287471 Treasurer(s)
COMMITTEE NAME NAME OF TREASURER
CONCERNED CITIZENS OF CUPERTINO MAROLYN O. CHOW
MAILING ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO, AND STREET
CITY STATE ZIPCODE AREACODEIPHONE
OPTIONAL- FAX/E-MAILAODRESS
STATEMENT OF NO ACTIVITY
CITY STATE ZIPCODE AREACODEIPHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZJPCODE AREACODEIPHONE
OPTIONAL: FAX/E-MAILADDRESS
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 ® July 1, through December 31, 20 17
3. Verification
I have used all reasonable diligence in preparing this statement. I have reviewed the
FPPC Form 425 (Jan109 )
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