Harris,Samuel_2023-CloseCertification to Close'Committee
This Certification is used to express the -intent to close the committee after all funds have been properly
disbursed: '
This Certification is filed at the Board of Elections office where the committee's campaign reports
are flied:
-FILED -BY: -
Committee Name:
Treasurer Name:
Treasurer Address: /3H 24µc.. �(. /�o��u�'�IUL 2-91 0
(include city, state, & zip)
Treasurer Phone: 4 /. 2 82 3e)
I certify that the above mentioned Committee intends to'close and cease existence. Upon signing this
-certification, I declare that all funds have been distributed and reported (if required). In addition, no
contributions will be accepted, or disbursements made after the "Final Report" is filed or this form is
signed. If the Committee at any future time intends to accept or spend funds in support or opposition of
any candidate or ballot issue, a newpolitical committee must be formed and registered with the Boardof
Elections before such activities may commence.
Committees that have filed under the $1,000 threshold will only be required to sign this Certification. No
"Final Report" will be required for committees meeting this criterion. Any Committee that did not file
under the $1,000 threshold must submit a "Final Repoli" with this'Certification. - This report must have a
zero balance with no outstanding loans or debts.
Date Signed Signature _
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- 11 , ' , . CRO -3900 - Certification to Close Committee