415 Termination ECIPIENT COMMITTEE
Recipient Committee
Statement of Termination
This form must be completed by recipient committees
that are eligible to terminate pursuant to Government
Code Section 84214
WHERE TO FILE:
Flte original and one copy of this form with:
Secretary of State
Political Reform Division
P.O, Box 1467
Sacramento, CA 95812-1467
~--' [~ ~_ ~-~ ~] ~ ~'~ SJ'~I~MENTOFTERMINATIOb
Type or prtat In Ink,
I Recipient Committee Information
NAME OF COMMrrrEE
RE ELEC? RICHARD LOWEN?HAL
ADDRESS OF COMMI3-rEE
21602 VILLJ% MARIA COURT
NO. AND STREET
And, if applicable, file one copy of this form
The city or county officer, if any,
committee's campaign disclosure statements.
CITY STATE ZIPCODE
CUPERTINO CA 95014
AREACODE/DAYTIMEPHONENUMBER
(408) 973-8494
II Treasurer Information
I.D. NUMBER NAME OF TREASURER
1256061 TOM HALL
III
MAILING ADDRESS OF TREASURER NO. AND STREET
21040 HOMESTEAD RD
CITY STATE ZiP CODE
CUPERTINO CA 95014
AREA CODE/DAYTIME PHONE NUMBER
(408) 773-1400
Effective Date of Termination
DATE FILING OBEGATIONS WERE COMPLETED
12/31/2003
IV Verification
A. This committee has ceased to receive contributions and make expenditures;
B. This committee does not anticipate receiving contributions or making expenditures in the future;
C. This committee has eliminated or declares that it has no intention or ability to discharge all debts, loans received, and other obligations;
D. This committee has no surplus funds; and
E. This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained
herein is true end complete. I certify under penalty of perjury under, thee laws of the State of California that the ~;tregolng is true.nd correct.
Executedon I /~[ ! At B
E ~ R STATE MEASURE PROPONENT
Executed on At By
DATE CITY AND STATE SIGNATURE OF COHTROLUNG OFFICEHOLeER, CANDE)ATE, OR STATE MEASURE PROPONENT
Executed on At By
DATE CITY AND STATE SIGNATURE OF CONTROLUNG OFFICEHOLDER, CANOE)ATE, OR STATE MEASURE PROPONENT
State of California Fair Political Practices Commission