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Form 410 STATEMENT OF ORGANIZATION (RECIPIENT COMMI~EE) <br /> 1990 ~ OF ~W000 ~ <br /> <br /> II IS THIS COMMITTEE CONTROLLED BY A CANDIDATE, OFFICEHOLDER OR STATE MEASURE PROPONENT? (See <br /> definition and important information on reverse ) <br /> [~ YES (Complete the following) [] NO <br /> · IF THIS COMMIT'TEE IS CONTROLLED BY AN OFFICEHOLDER OR A CANDIDATE. THE NAME OF TffE CONTROLLING CANDIDATE OR OFFICEHOLDER, THE <br /> ELECTIVE OFFICE SOUGHT OR HELD AND DISTRICT NUMBER. IF ANY. MUST BE LISTED. <br /> <br /> · IF THIS COMMITTEE AI~TS JOINTLY WITH ANOTHER CONTROLLED COMM[~-~EE. YOU MUST LIST THE NAME AND IDENTIFICATION NUMBER OF THE <br /> OTHER CONTROLLED COMMITTEE. <br /> <br /> 14. t.,x'y <br /> <br /> III IF THIS IS A BROAD BASED COMMITrEE (see definition and impoctant information on reverse), AND YOU WISH TO <br /> MAKE CONTRIBUTIONS TO C-AND DATES IN EXCESS OF THE 52.500 CONTRIBUTION LIMIT, YOU MUST CHECK THE BOX <br /> BELOW AND ENTER THE DATE ON OR BEFORE WHICH THE COMMI~2'EE QUALIFIED AS A BROAD 0ASED POLITICAL <br /> COMMITTEE. YOU MUST COMPLETE THIS SECTION BEFORE MAK NG CONTRIBUTIONS OVER THE $2,500 LIMIT. (If the <br /> committee is not a broad based committee, or does not w~sh to make contributions in excess of the S2,500 limit, OD not <br /> complete this section.) <br /> <br />] THIS COMMI'CrEE IS A BROAD BASED POLITICAL COMMITTEE. TttE COMMITTEE QUALIFIED AS A BROAD BASED POLITICAL COMMITTEE ON OR BEFORE: <br /> <br /> (month) (day) (y~a~) <br /> <br /> YOU MUST COMPLETE THE VERIFICATION ON PAGE 2 <br /> <br /> <br />