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Staterrient of Organization Datc Stamp � � . ,
<br /> Recipi�nt Committe� � -
<br /> Statemeiyt Type ��ni�ial ❑ Amendment � Terrmination—See Part 5 � � "�y
<br /> Not yet qualified ❑ or List I.D.number: List I.D.number:
<br /> # #137�344 JAN 14 2016
<br /> �� � r 01 �1�2016 City of Redwood City
<br /> Date qualified as committee Date qualified as cornmittee Date�of Termination City Clerk
<br /> (If applicable)
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<br /> NAMEOFCOMMITTEE NAME OF TREASURER
<br /> Elect Tania Sole Council Member 2�)15 Julie Parciini
<br /> STREETADDRESS�AO P.0.80X)
<br />
<br /> STREET��DDRESS(NOP.0.80X) CIN STATE ZIFCODE AF'.EACODE/PHONE
<br /> Redwood City CA 9�063 (
<br /> CITY STATE ZIP CODE AREA CODE/PHONE � NAME OF ASSISTANTTREASURER,IF ANY
<br /> Redwaod City CA 94063 ( Orlene Chartain, CPA
<br /> MAILINC9ADDRE55(IFDIFFERENT) � STREETADDRESS(�OP.O.BOX)
<br />
<br /> FAX/E-��IAILADDRESS CITV STATE ZIPCODE AF:EACODE/PHONE
<br /> Redwood City CA 9�063 (
<br /> COUNTY OF DOMICILE JURISDICTIDN WH_RE COMMITTEE IS ACTIVE � NAME OF PRINCIPAI OFFICER(5) �
<br /> Tania Sol�e
<br /> STREET ADDRE55I�D P.D.BOX)
<br />
<br /> CITV STATE ZIP CODE AP;EA CODE/PHONE
<br /> Attach additional information on appropriate��y labeled continuaiion sheets. R@dWOOCI Clty CA 9��063 (
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<br /> I have used all reasonable diligence in prep�3ring this stat ment and to the best of my knowledge the info�rmation contained herein is true and complete� I certify under
<br /> penalty of pery'ury under the laws of the Sta�te of California that the foregoing is true and correct.
<br /> Executedon 01/14/2016 B� .
<br /> DI',TE SIGNATJREOFTREASURER A551 �� TTR� S RER
<br /> Executed on 01/14/20'I 6 By
<br /> DATE SIGN URE OF CONTROLLWG OFFICEH ER,CANDI�A"(E,OR STATE MEASURE PROPONENT
<br /> Executed on By_,
<br /> Df.TE 51 ATURE OF CONTHOLLIIJ� FICEHOLDER,CANDI�A7E,OR STATE MEASURE PROPONENT
<br /> Executed on By
<br /> DF�TE � SIGNATURE OF CONTROILING OFFICEHOLDER,CANDI�ATE,OR STATE MEASURE PROPDNENT
<br /> FPPC Fop�m 410(Jan/2016)
<br /> FPPC Advice:advice�fppc.ca.gc�v(866/275-3772)
<br /> www.fppc.ca.gov
<br />
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