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Statement of Organization <br />Recipient Committee <br />INSTRUCTIONS ON REVERSE <br />COMMITTEE NAME <br />Redwood City Teacher's Association Political Action Fund <br />• All committees must list the financial institution where the campaign bank account is located. <br />NAME OF FINANCIAL INSTITUTION <br />Wells Fargo Bank N/A <br />ADDRESS <br />AREA CODE/PHONE <br />(650)365-7032 <br />CITY <br />BANK ACCOUNT NUMBER <br />2223784550 <br />STATE 21PCODE <br />Woodsid' Plaza Redwood City CA 9406 <br />CALIFORNIA <br />FORM 410 <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 "nonpartisan" <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 <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) <br />CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION <br />(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) <br />PARTY <br />❑ Nonpartisan <br />❑ Nonpartisan <br />CHECK ON E <br />SUPPORT OPPOSE <br />❑ 0 <br />SLO <br />0 Lj <br />FPPC Form 410 (Dec/2012) <br />FPPC Advice: a dvice"pc.a.gov (866/275-9772) <br />www.fppc.a.gov <br />