Laserfiche WebLink
Statement of Organization STATEMENTOFORGANIZATION <br /> ♦ <br /> Recipient Committee Type or print in ink Date Stamp <br /> 111���,,, }g�../� , • � <br /> �fidid'����� • . <br /> I <br /> Statement Type �]Initial �qmendment <br /> ❑ Termination—See Part Far O!lipal Use Only <br /> Not ye�qualified ❑ or List I.�.number. Lis[I.D,numher. <br /> # 123"�7�Z � AUG 11 20�� <br /> � i —J—J _J � CITY OF REDWOOD C�TY <br /> Date qualified as committee Date qualified as commitlee Date o(Terminalion <br /> oreop�racia� C�71'CLEP.K <br /> 1. Committee Information 2. Treasurer and Other Principal Officers <br /> NAME OF COMMITTEE NAME OF/TREASURER /��. <br /> �c. .1-ah �o��� te� Ci�, �'o�c.nce�� ZO �( L� %� ��..�.ria lLaS �a �0 <br /> STREET A�DRESS(N,(O�P.O.BO%) <br /> STREETAODRESS(NOP.O.80%) �� • '�� � � <br /> <br /> <br /> � C! G '� �4a 6�? <br /> CITY � STATE ZIPCODE AREACODEIPHONE NAMEOFASSISTANTTREASURER,IFANY . <br /> 2�� � D� �'� � �� " " �1 STREET ADDRESS(NO PO BO%) <br /> MAILING ADDRESS(IF DIFFERENT) <br /> CITV STATE ZIP CODE AREA COOEIPHONE <br /> OP710NAL. FAX/E-MAILADDRESS <br /> ' NAME OF PRINpPAL OFFICER(S) <br /> COUNN OF DOMICILE COUNN WNERE COMMITTEE IS ACTIVE IF�IFFERENT <br /> , THAN COUNTV OF DOMICILE <br /> STREETADDRE55(NO P.O.BOX) , � <br /> CITY STATE ZIPCODE AREACODE/PHONE <br /> Attach addifional inlo�mation on appropriatety labeled continuation sheets. <br /> 3. Verification - <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 penalty of <br /> perjury under the laws of th/e Sfate f California that the foregoing is irue and correct. <br /> Exewted on O f � ,�� . — � � <br /> ay <br /> �A � SIG RTIIRE REASUftERORAS515]ANTiREASURER <br /> Executed on °y/� /�� <br /> ATE BY <br /> SIGNnT RE OF CONTR LING OFFICEHOLOER,CAN�IDATE,OR STATE MEASURE PROPONENT <br /> Execuletl on BY <br /> OATE SIGNATURE OF CONTftOLUNG OFFIGEHOLOER,CqNDIOATE.OR STATE MEAS�RE PROPONENT <br /> Executed an , BY <br /> �ATE $1 NATU F ON R L�I Fl EH L , AN IOATE, S H M A UR P N N <br /> FPPC Form 410 �qpriV2011) <br /> FPPC Toll-Free Helpline: 866/ASK-FPPC (866l2753772) <br />