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Statement of Organization\ �" I <br />Recipient Committee 1 ' <br />Statement Type 0lnitial V ❑ Amendment ❑ Termination - See Parts <br />)9C,Not yet qualified <br />a <br />0 Dale qualified as committee —✓—f —�—% <br />Date qualified as committee Date of termination <br />I <br />1. Committee InformationI <br />If <br />I.D. Number <br />(if applicable) <br />NAME OF COMMITTEE <br />L /7 /7 S�. <br />Q/ <br />Zola' <br />ST <br />STREETA ORES( P0.8 %I <br /> <br />CITY <br />STATE ZIPCODE AREA CODE/PHONE <br />Redwood City <br />CA 94062 <br />MAILING ADDRESS IIF DIFFERENT) <br />EMAIL ADDRESS (REQUIRED)/FAX (OPTIONAL) <br /> <br />COUNTY OF DOMICILEI IURISOICTION WHERE COMMITTEE IS ACTIVE <br />San Mateo <br />Attach additional information on appropriately labeled continuation sheets. <br />pate Stamp E _ I t <br />I ' <br />its <br />kECEIVED AND FIL <br />li 1 the office of the Secretary of . lattl FwOfficial Use Only <br />of the State of Califomia <br />MAR 05 2010 <br />2. Treasurer and Other Principal Officers <br />NAME Of TREASURER <br />Thomas Umhofer <br />STREET ADDRESS INO PO BOX) <br /> <br />RECEIVED <br />APR 2 6 2MR <br />ICijr n ify <br />City Clerk <br />CITY STATE ZIPCODE AREACODE/PHONE <br />Redwood City CA 94062 <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS (NO R.O. BOX) <br />CITY STATE OPCODE AREACODE/PHONE <br />NAME OF PRINCIPAL OFFICE R(S) <br />STREET ADDRESS (NO PO BOX) <br />CITY STATE ZIP CODE AREACODE/PHONE <br />3. Verification i <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 <br />penalty of perjury under the lawns of the State of California that the foorr��egoi'n is true and correct. <br />Executed on �, tS - p By �� o tKt ; d'�-I <br />DATTE / V rS7ATUOF TREASURER OR ASSISTANT TREASURER <br />Exeated an 6 f By "���"AE 4GNATUREOF CONOFFICEHOLDER 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 SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410 (October/2017) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />