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Statement of Organization STATEMENT OF ORGANIZATION <br />Recipient Committee CALIFORNIA, <br />10 <br />FORM <br />INSTRUCTIONS ON REVERSE <br />Page 2 <br />COMMITTEE NAME 41.D, NUMBER <br />Redwood City Teachers Association Political Action Fund I <br />4. Type of Committee Complete the applicable sections. <br />■h+1014Afli <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 />• List the financial institution where the campaign bank account is located (controlled 'candidate election" committees only) <br />NAME OF FINANCIAL INSTITUTION <br />ADDRESS <br />AREA CODEIPHONE <br />CITY <br />IBANK ACCOUNT NUMBER <br />STATE ZIP CODE <br />❑ Non -Partisan <br />■zAlra.ulnunu* h.idg ag" 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 />I SUPPORT OPPOSE <br />SUPPORT OPPOSE <br />FPPC Form 410 (April/2011) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) <br />