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Stat�ment of Organization STATEMENT OF ORGANIZATION <br /> Recipient Committee � •- � , � <br /> . - <br /> INSTRUCTIONS ON REVERSE <br /> Page 2 <br /> COMMITTEE NAME I.D.NUMBER <br /> Committee to Elect Janet Borgens Redwood City Council 2015 <br /> 4.Type of Committee Complete the applicable sections. <br /> . . •. � <br /> . List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and <br /> district number, if any, and the year of the election. <br /> . List the political party with which each officeholder or candidate is affiliated or check"non-partisan." <br /> • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. <br /> NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD <br /> (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY <br /> � Non-Partisan <br /> Janet Borgens Redwood City Council 2015 <br /> ❑ Non-Partisan <br /> • List the financial institution where the campaign bank account is located(controlled"candidate election"committees only) <br /> NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUN7 NUMBER <br /> San Mateo Credit Union (650)363-1725 <br /> ADDRESS CITY STATE ZIP CODE <br /> 555 Marshall St. Redwood City CA 94063 <br /> . •. . Primarily formed to support or oppose specific candidates or measures in a single election. List below: <br /> CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION <br /> (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE <br /> SUPPORT OPPOSE <br /> Janet Borgens Redwood City Counci12015 <br /> SUPPORT OPPOSE <br /> FPPC Form 410(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br />