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Statement of Organization I _VI 53� � � <br />Date Stamp <br />Recipient Committee <br />Statement Type ® Initial ❑ Amendment ❑ Termination — See Part 5 <br />_: <br />IC Ulr�vr or trlt Swcr:l�iy u( :,1214 <br />of the Slate of California <br />,For Official Use Only <br />Y <br />O Not yet qualified <br />or <br />�►4i 1 2022 <br />e) Date qualification threshold met Date qualification threshold met Date of termination <br />15 22 <br />_ <br />} lI ��fitl <br />—! <br />Committee1. 2. Treasurer and <br />Other PrincipalOfficers, <br />!+1 aAvllcab7rl <br />NAME OF COMMITTEE NAME OF TREASURER <br />r:-! <br />Jerome Madigan <br />STREET ADDRESS (NO P.O. BOX) <br />516 Quartz Street <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE <br />ZIP CODE AREA CODE/PHONE <br />516 Quartz Street <br />Redwood City <br />CA <br />94062 650 283-3817 <br />CITY STATE ZIP CODE AREACODE/PHONE <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Redwood City CA 94062 650 283-3817 <br />N/A <br />FULL MAILING ADDRESS IIF DIFFERENT) <br />STREET ADDRESS (NO P.O. BOX) <br />E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) <br />CITY <br />STATE <br />ZIP CODE AREA CODE/PHONE <br />jerome4muncil@gmall.com <br />COUNTY OF DOMICILE <br />JURISDICTION WHERE COMMITTEE 15 ACTIVE <br />NAME OF PRINCIPAL OFFICER(S) <br />San Mateo <br />Redwood City, CA <br />N/A <br />STREET ADDRESS (NO P.O. BOX) <br />Attach additional information on appropriately labeled continuation sheets. <br />• <br />CITY STATE <br />ZIP CODE AREA CODE/PHONE <br />I have used all reasonable diligence in preparing this statement and to the best of my <br />penalty of perjury under the laws of the State of California that the fore i t e <br />Executed on By <br />ATE N TURE OF TREASURER OR ASSISTANT TREASURER <br />Executed on 2_ o By <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE <br />correct. <br />information contained herein is true and complete. I certify under <br />PONENT <br />Executed on By <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />Executed on By <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410(August/2018) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.eov <br />Nk <br />