Laserfiche WebLink
k.\ <br />Attach additional information on appropriately labeled continuation sheets. <br />3. Verification M; <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 laws of the State of California that the foregoing is true and correct. <br />Executed onI I �� I fJ By <br />D TE SIGNATURE OF TREASURER OR ASSISTANT TREASURER <br />Executed on (_3P ICi By <br />GATE SIG ATUREOF CONTROLLING OFFICEHOLDER,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, Oft 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 />j <br />r <br />e <br />Statement of Organization <br />Date Stamp <br />CALIFURUlTA_2[W, <br />Recipient Committee <br />FORM <br />FILED <br />StatementType ❑Initial ❑ Amendment ❑ Termination—See <br />PartE�IVED AND <br />Moe the Secretary of State <br />For Official Use Only <br />Not et ualified <br />® y q <br />n the of <br />)f the Slate of Callfomla <br />or <br />Q Date qualified as committee <br />SAN 0 4 2018 <br />Date qualified as committee Dale of termination <br />1. Committee Information <br />I.D. Number <br />I <br />2, Treasurer avid other Principal Officers <br />(if applicable) <br />I. <br />NAME OF TREASURER <br />".. <br />ArRm 2 6 2018 <br />NAME OF COMMITTEE <br />(n Wille Hale F�< 2eav'ot C �d��vnu 1 ZotCf <br />15Glle, lktt.l e, <br />d <br />STRE ADDRESS(NOP.O.BOX) <br />ulry or Keawooci t..aty <br />2zl[ Erc al'4 5k <br />City Clerk <br />STREET ADDRESS (NO PPO"BOX) <br />CITY STATE <br />ZIP CODES AREA CODE/PHONE <br />c1_ <br />Z'Z1 p•rAr� JT <br />Tf`�[w''rI/f1�j�) HT1 Ck <br />NY <br />"14v(v� <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />NAMED F ASSISTANTTRE�UR ,IFA\ <br />{LedwocX4 GiC% `ikota Z fo5a SZI •zl3 y <br />MAILING ADDRESS (IF DIFFERENT) <br />STREET ADDRESS (NO PO BOX) <br />E MAIL ADDRESS (1RIEQUIRED) /FAX (OPTIONAL) <br />e ®vyY-Ctii1 �rYe <br />CITY STATE <br />ZIP CODE AREACOOE/PHONE <br />COUNTY OF DOMICILE <br />I JURISDICTION WHERE COMMITTEE IS ACTIVE <br />NAME OF PRINCIPAL OFFICER(S) <br />STREET ADDRESS (NO PO BOX) <br />CITY STATE <br />ZIP CODE AREA CODE/PHONE <br />Attach additional information on appropriately labeled continuation sheets. <br />3. Verification M; <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 laws of the State of California that the foregoing is true and correct. <br />Executed onI I �� I fJ By <br />D TE SIGNATURE OF TREASURER OR ASSISTANT TREASURER <br />Executed on (_3P ICi By <br />GATE SIG ATUREOF CONTROLLING OFFICEHOLDER,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, Oft 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 />j <br />r <br />