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� — - ---_...... . <br /> .e.....�.r <br /> °�Ei�i�� <br /> �� <br /> JUN 24 2015 <br /> Statement of Organization 5TA7EMENT OF ORGANIZATION <br /> Recipient Committee �Ype or print I Ink CITY OF REDWOOD CITY Date Stamp <br /> CITY CLERK �! � � / , <br /> � E����} • <br /> �i�l� ����t..,' <br /> Statement 7ype ❑initial �cJ Amendment ❑ Termination—See Part S�n th office of the Sect�t�f������F For o�rrrclai Use only <br /> Not yst qualifled ❑ or List I.D,number. List I.D.number: Of th�St�1c�r�f�;(i�H��,c� <br /> # 1374422 # MAY 2 8 ���� <br /> ��� 02 � 20 � 2015 _J__� <br /> Date qualiffed as commitlee Date qualified as committee Date of Terminatlon <br /> (ll applicable) <br /> 1. Committee information 2. Treasurer and Other Principal Offlcers <br /> NAMEOFCOMMITTEE NAME OF TREASURER <br /> Committee to Elect Janet Borgens for Redwood City Council 2015 Hollis Matheny <br /> STREET ADDRESS <br /> <br /> STREET ADpRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODEIPHONE <br /> Union City CA 94587 ( <br /> CIN STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY <br /> Redwood City CA 94063 ( STREET ADDRESS <br /> MAILINGADDRESS QF DIFFERENT) <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS <br /> NAME ANO POSITION OF OTHER PRINCIPAL OFFICER(S),IF APPLICABLE <br /> COUNTY OF DOMICILE COUNTY WHERE COMMITTEE iS ACTIVE IF DIFFERENT <br /> THAN COUNTY OF DOMICILE MAILING ADDRESS <br /> San Mateo Redwood City <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Atfach additional information on appropnately labe/ed continuation sheets. <br /> 3. Verification <br /> I have used all reasonable diligence in preparing this statement and to the best of y knowledge the information contained h�rein is true and complete. I certify under penalty of <br /> perjury under the laws of the State of California that the foregoing is true and c ect ;/' <br /> J --__.._.. / <br /> 04/12/2015 '� <br /> Executed on gy / .;�='`t---'`'-�---° //1��� <br /> ._..-�_,- <br /> DAT GNA UR ASURER A6SISTANTTREASURER <br /> �:xecuted on 04/12/2015 B /�J <br /> DATE y '� " � � <br /> SIGNATURE OF CONTROLLING OFFICEHOLDER, A DIDATE,OR STATE MEASURE PROPONENT <br /> Executed on gy <br /> DATE SIGNATURE OF CON7ROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> Executed on gy <br /> DATE SIGNATURE OF CON7ROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONEN7 <br /> FPPC Form 410(January/05) <br /> FPPC Toll-Free Helptine:88B/ASK-FPPC(866/276-3772) <br />