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~ . FILl[ AN ORIGINAL AND ONE COPY OF' THIS FORM WITH: <br />~'~ Secre,ary of State <br />~~.~ PolitlC~ll Reform Division <br /> <br /> ~o~41 ~ ~ ~TATEMENT OF ORGANIZATION (RECIPIENT COMMI~EE) <br /> 19~ ~'~ (Government Code Section 84101-84103) AUO ~ .5 1983 <br /> <br /> 830675 iF AMENDMENT <br /> ENTER I.D. NUMEE~ (Tyoe or Print ,n Ink) <br />U~ NAME OF COMMITTEE: <br /> <br /> Co~l~ee ~o :e-e~ec~ ~. ~. (~1~) S~a~gel <br /> <br /> 2201 Broadway; Redwood City; CA 94062 ~n Mateo <br /> <br /> NOT YET ~UALIFIED [ 415-369-4187 <br /> T~ASURER AND OTHER PR[~CIPAL OFFICERS <br /> <br /> CO0~) NO. <br /> <br /> TREASURER Robert R. Stevens - 1309 Sierra Street, 415- 369-7331 <br /> Red~ood City, CA 94061 415- 365-2345 <br /> <br />Tach additional information on aol3rol~riarel¥ /aOe/ed conTinuaTion sheen. <br /> IS THIS A CONTROLLED COMMI [TEE? <br /> <br /> (A controlled committee /$ one which is control/ed directly or/ndirecrl)/by a candidate or which acrs/oin~/~, with a candidate or <br /> control/ed cornrn/ttee in connection with the making of expend/rural. A candidate controls a committee if he or she, his or her agent <br /> or any other committee he or ~he controls, has $i'gnifYcanr /n£/uence on the actions or decisions o~¢he committee. J <br /> <br /> [X] YES (ComDlete Section III) [ ] NO (Section III is not a0plicable) <br /> CANDIDATES CONTROLLING THIS COMMI('[EE; CANDIDATES OR COMMITTEES WITH WHICH THIS <br /> COMMITTEE ACTS JOINTLY <br />)R OFFICIAL I IDENTIFICATION NUMBER OF COMMITTEE OR <br />USE ONLY NAME OF CANDIDATE OR COMMITTEE TREASURER'S NAME AND PERMANENT STREET ADDRESS <br /> <br /> Wm. J. (Bill) Stansel I~ Same Committee/no other committee <br /> <br /> a(~dit/onal information on ai3prooriaret~ labeled continuation sheen. <br /> <br /> PERSONS OR ORGANIZATIONS, IF ANY, WITH WHICH THIS COMMITTEE IS AFFILIATED OR CONNECTED <br /> <br /> NAME AND STREET ADDRESS (AREA PHONE <br /> CODE) NO. <br /> <br /> NONE <br /> <br />~ch a(~diriona/ inforn3a~ion on al~orol~rl~tet¥ laDe/ed conTinuaTion sheets. <br /> <br /> YOU MUST COMPLETE THE VERIFICATION ON PAGE 2 <br />information required to be provided to you pursuant to the Information P~actices Ac-l: of 1977, see "Information Manual on Campaign Disclosure Provisions <br />~ Political Reform Ac~," Part X. <br /> <br /> 1 <br /> <br /> <br />