HomeMy WebLinkAboutCampaign Finance Records - Termination Statement - Glendale Forward - 9/26/2016CITY / TOWN OF Glendale
POLITICAL COMMITTEE
CIT'f CLEN,"
CITY n- r P _>"N A
TERMINATION STATEMENT
ID# `
1816 SEP 26 PM 1: 21
A.R.S. §§ 16-914 and 16-915.01
16-02
NAME OF POLITICAL COMMITTEE
Glendale Forward
ADDRESS (NUMBER & STREET)
CITY
STATE
I ZIP
5710 W. Monona Dr.
Glendale
AZ
85308
MAILING ADDRESS (IF DIFFERENT FROM ABOVE)
CITY
STATE
I ZIP
COMMITTEE TELEPHONE #
COMMITTEE FAX #
COMMITTEE E-MAIL ADDRESS
602-277-1500
Glendaleforward@gmail.com
NAME OF SPONSORING ORGANIZATION OR CANDIDATE AND OFFICE
ADDRESS OF SPONSORING ORGANIZATION
EMAIL ADDRESS AND FAX #
Select the boxes that apply.-
pply:A.
A.a This is to certify that all contributions received and all expenditures made on behalf of the political committee
indicated above have been reported as required by A.R.S. § 16-913. We further certify that the political committee
will no longer receive any contributions or make any disbursements, that the committee has no outstanding debts or
obligations, and that any surplus monies have been disposed of pursuant to A.R.S. § 16-915.01.
Please mark the appropriate statement below to indicate which campaign finance report states the disposition of
any surplus monies.
The disposition of surplus monies was submitted on the campaign finance report filed on 9/26/2016
The disposition of surplus monies is reported on the attached campaign finance report.
B. committee has terminated its activities in the above-named jurisdiction. The undersigned chairman and
oThis
treasurer hereby attest that it is the intent of this committee to remain active in other jurisdictions and that all
remaining monies of this committee shall be used in other jurisdictions.
C ❑ This committee has transferred the committee's debts and obligations to a subsequent committee.
Please enter the full name and ID# of the committee into which debts and obligations have been transferred.
Name of Committee ID #
We Mike Colletto Stephen Gilman certify under
Printed name of Chairman and Printed name of Treasurer
penalty of perjury that this statement of termination pursuant to A.R.S. § 16 -914 is true and complete.
Signature of Chairman