Notice of Withdrawal

CALIFORNIA
1997/98 FORM

607

FAIR POLITICAL PRACTICES COMM.

The "Notice of Withdrawal" is for use by:
• A person who has filed a “Lobbyist Certification
Statement” (Form 604) but in fact has never met
the definition of a “lobbyist” under Government
Code Section 82039 and the qualifying tests set out
in FPPC Regulation 2 Cal. Adm. Code Section
18239; or
• A person or entity which has filed a “Lobbying
Firm Registration Statement” (Form 601) but in
fact has never met the definition of a “lobbying
firm” under Government Code Section 82038.5
and the qualifying tests set out in FPPC Regulation
2 Cal. Adm. Code Section 18238.5.
This form may not be used to terminate the certification, registration or renewal of registration of a
person who has qualified as a lobbyist or a lobbying
firm and who is ceasing all lobbying activities.
Instead, a “Notice of Termination” (Form 606) must
be used.
After filing a valid “Notice of Withdrawal,” the filer is
not subject to the gift prohibition contained in
Government Code Section 86203.
The “Notice of Withdrawal” must be signed by the
lobbyist or, in the case of a lobbying firm, by the
person designated on the firm’s registration statement
as the responsible officer of the firm.
File an original and one copy of this form with:
Secretary of State
Political Reform Division
1500 11th Street
P.O. Box 1467
Sacramento, CA 95812-1467

FPPC Form 607 (8/97)
For Technical Assistance: 916/322-5660
h:\lobbying\forms\1997-98\607

 Legislative Session

Notice of Withdrawal

CALIFORNIA
1997/98 FORM

(Government Code Section 86100,
2 Cal. Code of Regs. Section 18601)

607

FAIR POLITICAL PRACTICES COMM.

For Official Use Only

Type or Print in Ink

Effective Date of Withdrawal
(Month/Day/Year)

(Insert Years)

NAME OF FILER:

NAME OF EMPLOYER OR FIRM: (If this Notice is being filed by a lobbyist)

BUSINESS ADDRESS: (Number and Street)

(State)

(City)

(Zip Code)

FOR USE BY: Lobbyists and lobbying firms which are not and have not been, since filing a "Lobbyist
Certification Statement" (Form 604) or "Lobbying Registration Statement" (Form 601), a "lobbyist" within
the meaning of Government Code Section 82039, or a "lobbying firm" within the meaning of Government
Code Section 82038.5.
I have not met the qualification requirements to register as a:
Check applicable box(es)

Lobbyist within the meaning of Government Code Section 82039 and Regulation 18239.
Lobbying Firm within the meaning of Government Code Section 82038.5 and Regulation 18238.5.

VERIFICATION
I have used all reasonable diligence in preparing this Notice. I have reviewed the Notice 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.

Executed on

By
DATE

SIGNATURE OF LOBBYIST OR LOBBYING FIRM RESPONSIBLE OFFICER

Name of Lobbyist or Lobbying Firm Responsible Officer

Title
TYPE OR PRINT

FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977, SEE INFORMATION MANUAL ON LOBBYING DISCLOSURE PROVISIONS
OF THE POLITICAL REFORM ACT.

FPPC Form 607 (8/97)
For Technical Assistance: 916/322-5660