CONTINUING POLITICAL COMMITTEE CERTIFICATION OFFORM: CPC-FFINALIZATION PURSUANT TO N.J.S.A. 19:44A-8(b)(2)NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSIONP.O. Box 185, Trenton, NJ 08625-0185(609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532)www.elec.nj.gov1. Name of Continuing Political Committee: ELEC Identification Number:Address:Telephone Number - *Day:*Evening:2. Name of Treasurer:Address:Telephone Number - *Day:*Evening:3. Name of Chairperson:Address:Telephone Number - *Day:*Evening:4. Name of Bank or Depository:Address:Telephone Number - *Day:*Evening:(Note: If the CPC has more than one bank account or depository, enter information concerning additional accounts below.)Name of Bank or Depository:Address:Account Name:*Leave this field blank if your telephone number is unlisted. Pursuant to N.J.S.A. 47:1A-1.1, an unlisted telephone number is not a public record and must not be provided on this form.New Jersey Election Law Enforcement CommissionForm CPC-F Revised: Jun. 2021Page 1 of 2
CERTIFICATION OF FINALIZATIONN.J.S.A. 19:44A-8(b)(2) requires that a continuing political committee which at any point expects to cease making contributions toward the aiding or promoting of the candidacy of an individual(s) for elective public office or the passage or defeat of a public question in this State to certify that fact in writing to the Commission. Placing your signature below fulfills this requirement.Declaration for Continuing Political Committee: I certify that the committee has ceased to make contributions toward theaiding or promoting of the candidacy of an individual(s) or the passage or defeat of a public question(s) in the State of New Jersey.Declaration Regarding Funds: I certify that the committee has wound up its business.Balance on hand (if any) $I certify that the forgoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I may be subject to punishment.Registration NumberPINRegistration NumberPINDateSIGNATURE OF CHAIRPERSON SIGNATURE OF TREASURERDateNOTE: N.J.S.A. 19:44A-8(b)(2) requires that continuing political committees that cease activity submit a final accounting of any fund relating to the aiding or promoting of candidates or public questions in the State of New Jersey. A final Form R-3 should be submitted with this form to fulfill this requirement.New Jersey Election Law Enforcement CommissionPage 2 of 2Form CPC-F Revised: Jun. 2021
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