Monterey Park, CA · Los Angeles County
Semi-Annual / Termination Campaign Statement
This campaign statement form reports committee information, contributions, expenditures, cash balances, and debts for a reporting period.
What this form is
The form is a Recipient Committee Campaign Statement covering a semi-annual or termination statement, with sections for committee details, verification, summary totals, payments, and accrued expenses. It asks for the reporting period, committee and treasurer information, financial figures, and signatures. The form says a termination statement must also include a Form 410 Termination and that the ending cash balance must be zero.
Who needs it
A recipient committee or candidate completing a semi-annual or termination campaign statement uses this form to report committee and financial information.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer certifies under penalty of perjury that the statement is true and correct.
How to submit this form
- 1
Download The Form
Download the Semi-Annual / Termination Campaign Statement PDF.
- 2
Complete The Statement
Fill in the committee details, reporting period, financial summaries, and applicable statement sections.
- 3
Gather Any Related Form
For a termination statement, the form says to also file a Form 410 Termination.
- 4
Sign And Date
Sign and date the verification certifying that the statement is true and correct.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Semi-Annual / Termination Campaign Statement report?
- It reports committee information and financial activity, including contributions, payments, accrued expenses, cash balances, and outstanding debts for the stated period.
- Who uses this campaign statement form?
- Recipient committees and candidates use it to complete a semi-annual or termination campaign statement, including the committee information and financial summary.
- Do I need a notary for the Semi-Annual / Termination Campaign Statement?
- No. The document is signed without a notary. The signer certifies under penalty of perjury that the statement is true and correct.
- How do I submit the Semi-Annual / Termination Campaign Statement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Semi-Annual / Termination Campaign Statement doesn’t need a notary — but if you have another Monterey Park form that does, a commissioned online notary can help.