HomeMy WebLinkAboutCampaign Finance Records - Termination Statement - Clark for Council - 1/20/2017kyr �'fYy, jJ
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COMMITTEE INFORMATION:
Committee name: Clark for Council
Mailing address:
8628 W. Cavalier Drive
Email address: Clarkjy@aol.com
Phone number: 623-772-9795
Website: NA
Chairperson name: Joyce Clark
Treasurer: Kavi n Cl ark
DECLARATION AND SIGNATURES:
CITY OF GLENDALE
STATE OF ARIZONA COMMITTEE ID NUMBER
16-01
COMMITTEE TERM,I�1IrEkK
STATEMENT %.I GLEND LE
2911 JAN 10 PM 3: 0b
I declare under penalty of perjury that the foregoing information is true and correct. 1 turtner declare tnat: (1) the committee will no longer
receive any contributions or make any disbursements; (2) the committee either (a) has no outstanding debts or obligations, or (b) has
outstanding debts or obligations that are all more than five years old, and the committee's creditors have agreed to discharge the debts
and obligations and have agreed to the termination of the committee; (3) any surplus monies have been disposed of and that the
committee has no cash on hand; and (4) all contributions and a Aen/ditur s have been reported, incl
diaisposal of surplus monies.
Chairperson's signature: Date:
Treasurer's signature: Date:
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Candidate's signature (if applicable): '��C1'� Date: �l
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Arizona Secretary of State Revision 11/5/16