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1 <br /> <br /> .- ~ F, ILE AN ORIGINAL AND ONE COPY OF THIS FORM WITH: <br />~~ Secretary of State f ~ E C ~' I <br /> ND FILED <br /> Political Reform Division ~ e~ ~he <br />~, PO. Box 1467 la <br />I Sacramento, CA 95807 <br /> F~rm,~,~ ~ STATEMENT OF ORGANIZATION (RECIPIENT COMMITTEE) FEB 1 <br /> 1986 ~ ~ 0~ (Government Code Section 84101-84103) <br /> <br /> ENTER I.D. NUMBER (Type or Print in Ink) <br /> <br /> ~,NHHTTTRE ~ 1~-~.T.'~.~T ~T.ATR'R ~ ~NTINI'~TT. <br /> <br /> 244 Alameda de Las ?ulnas Redwood Citv. Cnlif 94062 <br /> <br /> TREASURER AND OTHER PRINCIPALOFFIC~RS <br /> POSITION NAME AND PERMANENT STREET ADDRESS (AREA PHONE <br /> CODE) NO. <br /> <br /> TR EASU R E R (AMENDED) <br /> VIVIAN NICOLET.g55 Ed~_~cl iff Why :R~dwnnd City CA q/.nR1 A1 R '4RR-17R? <br /> <br /> II IS THISA CONTROLLED COMMITTEE? <br /> (A controlled committee is one which is controlled directly or indirectly by a candidate or a proponent of a state ballot measure or <br /> which acts jointly with a candidate, controlled committee or proponent of a state ballot measure in connection with the making of <br /> expenditures. A candidate or proponent of a state ballot measure controls a committee if he or she, his or her agent, or any other <br /> committee he or she controls, has a significant influence on the actions or decisions of the committee.) <br /> <br /> IX) YES (Complete the following and proceed to Part IV) [ ] NO <br /> <br /> CANDIDATES OR STATE MEASURE PROPONENTS CONTROLLING THIS COMMITTEE; CANDIDATES, <br /> STATE MEASURE PROPONENTS OR COMMITTEES WITH WHICH THIS COMMITTEE ACTS JOINTLY. <br /> NOTE: If this committee is controlled by more than one candidate, the name of each controlling candidate must be listed below. <br /> <br /> NAME OF CANDIDATE, STATE MEASURE IF AFFILIATED WITH ANOTHER COMMITTEE, IDENTIFICATION NUMBER OF <br /> <br /> III IS THIS A SPONSORED COMMITTEE? (Refer to definitions on the rever$e side) <br /> [ ] YES (Provide name and address of sponsor) [ ] NO <br /> <br /> Name of Sponsor: <br /> <br /> Address of Sponsor: <br /> (If yes, check one of the classifications below and refer to the instructions on the reverse side for definitions and rules regarding <br /> the name of the committee.) <br /> CLASSIFICATION OF COMMITTEE BY INDUSTRY GROUP OR AFFILIATION: <br /> [] Agriculture [] Education [] Entertainment/Recreation [] Finance/Insurance [] Health <br /> <br /> [] Industrial/Manufacturin9 [] Labor [] Legal [] Merchandise/Retail [] Oil/Gas [] Public Employees <br /> <br /> [] Real Estate [] Trade [] Transportation [] Utilities <br /> [] Other: <br /> <br /> YOU MUST COMPLETE THE VERIFICATION ON PAGE 2 <br /> For information required to be provided to you pursuant to the Information Practica~ Act of 1977, see "Information Manual on Campaign Dildoiure <br /> <br /> <br />