Semi-Annual Statement of No Activity

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 for an elective office may not use this form.

See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional information and information required to be provided to you pursuant to the Information Practices Act of 1977.

Part 1a of 3: Committee Information

Part 1b of 3: Treasurer(s)

Part 2 of 3: Period of No Activity

No contributions have been recieved and no expenditures have been made during the period covering the dates below:

Check one of the following boxes and complete the year in the following field.

Part 3 of 3: Verification

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 and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Please press 'Create PDF Document' button below. Filled out Form 425 PDF document will be opened. Please print the document and sign at the bottom of the page.

End of the Page, Form 425 - Semi-Annual Statement of No Activity