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Statement <br /> of <br /> Organization STATEMENT OF ORGANIZATION <br /> Recipient Committee File original and one copy with: DateSlamp <br /> Secretary of State ..................... : <br /> PolilicalRefotmDivision ., I~ ',, ~ ~! i,i, '~ <br /> Am~dme.t P.o.~ox~467 g ~ ~ ~ u ~ <br /> [~"Check box if an Amendment <br /> Sacramml~, <br /> CA <br /> 95812-1467 <br /> <br /> # <br /> disclosure statements. <br /> CiTY OF nEDWOOD CITY <br />IN~mUCTIONSONREVE~E Type or print in ink CITY CLERK <br /> <br />1. Committee information 2. Treasurer and Other Principal Officers <br /> Datequallfladascommtttee~' / ~°'/ ~'"'"~ r"iNotyetqualifled /~,~ <br /> <br /> ADDRESS OF COM~ H r-t: NOiAND STREL=T (NO FO. BOX) CI3Y ;~1~.11: ZIPCODE AREA COOE/DAYTIME Pt-lONE <br /> <br /> D ~__~ ~/~/' ~.~ ~ 42/_~ ~,/~ ~ NAME AND POSmON OF OTHER PRINCIPAL OFFICER{S). IF APPUCABLE <br /> COUNTY OF DOMICILE I COUNTY WHERE OOMMITIEE IS ACTIVE IF DIFFERENT THAN <br /> I <br /> MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX C~Y ~ Z~pCODE AFIEA COO E/DAYRME PHONE <br /> <br /> CITY STATE ZIPCOOE AREA CODFJPftONE NUMBER <br /> <br />3. Verification <br /> I have used all reasonable diligence in preparing this statement and to the best of my knowle~the inforrr)~icm~ontaineJ~J~min is true and complete. I certify <br /> under penalty of perjury/under the h~us of the State of California that the foregoing is trae and~.o~ect. [ , .,) tx/x/ <br /> <br /> Executed on By <br /> Ex~:uied on By <br /> <br /> <br />