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Form 410 Termination 2/11/2013 Statement of Organization Recipient Committee Statement Type ❑Initial Not yet qualified ❑ or _ I / Date qualified as committee 1. Committee Information Type or print in ink ❑ Amendment List LD number- Date qualified as committee (If applicable) 21 Termination—See Part 5 List LD number # 961005 12 / 31 / 2012 Date of Termination NAME OF COMMITTEE FRIENDS OF JAMES BOND STREET ADDRESS(NO PO.BOX) AREA CODE/PHONE 760-753-3555 CITY STATE ZIP CODE AREA CODE/PHONE ENCINITAS CA 92024 760-943-8624 MAILING ADDRESS(IF DIFFERENT) AREA CODE/PHONE 760-943-8628 OPTIONAL. FAX/E-MAIL ADDRESS COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT CITY STATE ZIP CODE THAN COUNTY OF DOMICILE SAN DIEGO Attach additional information on appropriately labeled continuation sheets Date Stamp STATEMENT OF ORGANIZATION For Official Use Only 2. Treasurer and Other Principal Officers NAME OF TREASURER NORMAN NYBERG CITY STATE ZIP CODE CARDIFF CA 92007 AREA CODE/PHONE 760-753-3555 NAME OF ASSISTANT TREASURER,IF ANY JACKIE BOND STREET ADDRESS CITY STATE ZIP CODE ENCINITAS CA 92024 AREA CODE/PHONE 760-943-8628 NAME AND POSITION OF OTHER PRINCIPALOFFICER(S),IFAPPLICABLE MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information c ntaned herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and come pt. -- Executed on ')'-C By DATE TREASURER OR ASSISTANT TREASURER Executed on � _� By DAT \ S ATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE.OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT FPPC Form 410(January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC(8661275-3772) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE STATEMENT OF ORGANIZATION GUMMI I I tt NAME I.D NUMBER FRIENDS OF JAMES BOND 1961005 4.Type of Committee Complete the applicable sections. . • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check"non-partisan." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY JAMES BOND ENCINITAS CITY COUNCIL 2008 Non-Partisan F1 Non-Partisan • List the financial institution where the campaign bank account is located(controlled"candidate election"committees only) NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE / BANK ACCOUNT NUMBER CHASE ,T1 .- - .%' �©%� 000003890719906 ADDRESS CITY STATE ZIP CODE L 6 � Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE SUPPORT OPPOSE OPPOSE FPPC Form 410(January/05) FPPC Toll-Free Helpline:866 1ASK-FPPC(866/275-3772) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE STATEMENT OF ORGANIZATION Page 3 COMMITTEE NAME LID NUMBER FRIENDS OF JAMES BOND 1 961005 4.Type of Committee (Continued) •• Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ® CITY Committee n COUNTY Committee n STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY SUPPORT OF ELECTING CITY COUNCIL MEMBER CEZEMOMMList additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO AND STREET CITY STATE ZIP CODE FrIM17M,W=W= -1_J Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a Date qualified small contributor committee on January 1,2001,enter 1/1/01 5.Term i nation Req ui rementS By signing the verification,the treasurer,assistant treasurer and/or candidate,officeholder,or proponent certify that all of the following conditions have been met: • This committee has ceased to receive contributions and make expenditures, • This committee does not anticipate receiving contributions or making expenditures in the future, • This committee has eliminated or has no intention or ability to discharge all debts, loans received,and other obligations, • This committee has no surplus funds,and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519 FPPC Form 410(January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC(866/275-3772)