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�, ` _ <br /> �tat@171et1t Of Org1�'ilZatlOtl STATEMENT OF ORGANIZATION <br /> Type or print in ink Date Stamp <br /> � � • � � <br /> Recipient omm�ttee , <br /> . - . <br /> Statement T e ��� � <br /> Yp ❑Initial � Amendment ❑ Termination—See Part 5 ��� v �� For Officiai Use Only <br /> Notyetqualified ❑ or Listl.D.number: List I.D.number: <br /> #sso�so # MAY 2 7 2011 <br /> _�� �� _�� ci�rY oF���b=✓oc��c��-Y <br /> Date qualified as committee Date qualified as committee Date of Termination Cl7Y GL.E�€C <br /> (If applicable) <br /> 1. Committee Information 2. Treasurer and Other Principal Officers <br /> �M OF C MMITTE NAME OF TREASURER <br /> ar�ara�'ierce�or City Council 2011 Danielle Del Carlo <br /> STREETADDRESS(NO P.O.BOX) <br /> <br /> STREETADDRESS(NO P.O.BOX) CI7Y STATE ZIP CODE AREACODE/PHONE <br /> Redwood City CA 94062 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY <br /> Redwood Ciry CA 94061 STREETADDRESS(NO P.O.BOX) <br /> MAILING ADDRESS(IF DIFFEREN� <br /> CITY STATE ZIPCODE AREACODE/PHONE <br /> OPTIONAL: FAX/E-MAILADDRESS <br /> NAME OF PRINCIPAL OFFICER(S) <br /> COUNTY OF DOMICIIE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT <br /> THAN COUNTY OF DOMICILE STREETADDRESS(NO P.O.BOX) <br /> San Mateo County <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Attach additional information on appropriately labeled continuation sheets. <br /> 3. Verification <br /> I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of <br /> perjury under the laws of the State of California that the foregoing is true and corr ct. <br /> Executed on _�y�aZ.�) o�� �� BY _ <br /> �A�E ATURE OF REASURER OR ASSISTANT TREASURER <br /> Executed on By <br /> SIGNATURE OF CONTROLLING OFFICE LDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> Executed on By <br /> DATE I NA UR N LLIN F I EH LDER, ANDIDA E. TATE MEA URE P N N <br /> FPPG Form 410(June/09) <br /> FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) <br />