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Statement of Organization - .�� =�.. � . nnenrr oF o�izATioN <br /> lype or prlrn In Ink ' - g�q�y�pF � ,,.� <br /> Recipient Committee :��r. �4� � ( <br /> Statement Typo �Initlal ❑ Amendment ❑ Terminatlon—8ee Part S� `,��, Q � L�p5 Foromdrivaadnb <br /> No t ye t qua U fle d � or Liat I.D.number: Llat I.D.number <br /> # # -: � <br /> ___.l_��_. �.l-J.._._ __1_.l _ . ., .. _, >,,��,e .+ <br /> Date qualifled as oommittee Date quelifled sa committee Date of Termfnation <br /> (M�pplk�DN) <br /> 1. Committee Information 2. Treasurer and Other Principal Offlcers <br /> NAMEOFCOMMITTEE NAME OF TREASURER <br /> Commiltee to Elect Janet Borgens Redwood City Council 2015 Hollis Matheny <br /> STREET ADDRESS <br /> <br /> BTREET ADDRE38(NO P.O,BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> Union Cfty CA 9458T ( <br /> C�Ty STA7E tiP CODE AREA CODE/PHONE �E OF A3818TANT TREASURER,IF ANY <br /> Redwood City CA► 94063 ( STREET ADDRESS <br /> AAPJLING ADDRE95(IF OIFPERENI) <br /> ��Ty STATE ZiP CObE AREA CODEIPHONE <br /> OPTIONAL: FA7C/&MAIL ADDRESS <br /> NAMEAND POSITION OF OTHER PRINCIPALOFFICER(S),IFAPPLICABLE <br /> COUNTY OF DOMICILE COUNTY WHER6 COMMITTEE I3 AC71VE IF DIFFERENT <br /> 7HAN COUNTY OF DOMICiIE MAILINO ADORESS <br /> 3an MaGso <br /> ��Ty STATE ZiPCODE AREACODEIPHONE <br /> AtG►ch sddltlonal inforrnation on approprlatery labelad conHnuatlon aheeta. <br /> 3. Verlflcatlon <br /> 1 have used all reeeonable diligence in prepa�ing thfs statement and to the best af my knowledge the informetfon contai. herein is true and complete, (certify under penalty af <br /> pery'ury under the laws of the State of Celifomia that the foregoing is true and e <br /> ..� <br /> F�cecuted on January 1 sr, 2015 gy , W � <br /> pq -,y 7 ' &1 OF TREA&U ER ORASSISTANTTREABURER <br /> F�ecu�ed an January 1st,2015 gy ��f��� �� L� G���� <br /> DA7E 81CiNATURE OF CONTRO O OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> EX9CUICd 011 pA� By SIONATURE OF CONTROLLINO OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> Executed on BY <br /> pq� SIONATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR TATE RE PROPONENT <br /> FPPC Fortn 410(JanuarylOS) <br /> FPPC Toll-Frea Helpqne:666/ASK.FPPC(8661275-3772) <br />