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RE�'E����� <br /> Statement of Organization DateStamp , � . L <br /> Recipi�ent Committe� FEr� 2 6 20�� • - � � <br /> Statement Type ��n�q�a� ❑ Amendment � Terrnination�o�e��irt 5 For Official Use only <br /> Notyeiqualified ❑ or �istl.D.number. Listd�yt�Q#�ri�i�H RE f���AND ���.�� <br /> lerk o ice of the Secretary of State �"E���V E!� <br /> n �37 o the State of Califomia <br /> �� � __� �, 01 �1�2016 ��� Ol 2016 <br /> Date qualified as committee Date qualified as committee Date of Termination JAN 19 2016 <br /> (Ifapplicable� HUMBOLDT COUNTY <br /> S <br /> ..., i. S i -. r ; <br /> �� <br /> , .i ., . . . . . ._ . .. _, a�.',a�,. .,.x�_ . ;:y . <br /> NAME OF COMMITTEE � NAME Of TREASUF;ER � <br /> Elect 1'ania Sole Council Member 2015 Julie Pardini <br /> STREET ADDRESS(AO P.D.BOX) <br /> <br /> STREET�40DNES5�NO P.O.BO%) CITY STATE ZIP CODE AF:EA CODE/PHONE <br /> Redwood City CA 9��063 ( <br /> CI7'Y STATE ZIPCODE AREAGODE/PHONE � NAMEOFASSISTANTTREASLIRER,IFANY <br /> Redwc,od City CA 9�063 ( Orlene Chartain, CPA <br /> MfUUN(:1 ADDRESS(IF DIFFERENT) �� STREET ADDRESS��O P.O.BOX) � <br /> <br /> FAX/E-t�AAILADDRESS GTY STATE 21PCODE AF:EACO�E/PHONE <br /> Redwood City CA 9��063 ( <br /> COUNTY OF DOMICILE JURISDICTION WH:RE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(5) � <br /> Tania Sol�e <br /> � STREET ADORESS(�O P.O.BOX) <br /> <br /> CITY STATE ZIPWDE AI';EACODE/PHONE <br /> Attach additional informatron on appropriately labeled continuation sheets. <br /> Redwood City CA 94�063 ( <br /> ,. ; ; �� : . <br /> I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true�nd complete. I certif�er... . ,,��r <br /> penalty of perjury under the laws of the State of California thal the foregoing is true and correct. <br /> Executed on 01/14/2016 B,� <br /> DI:TE SIGNAT.IREOFTR SURE RAS$�5�'ANTTREASURER <br /> Executed on 01/14/2016 B� � <br /> DJ;TE S NATURE OF CONTROLLIN OLDEft,CANDIOA'I'E,OR STATE MEASURE PROPONENT � <br /> Executed on By _ , <br /> DATE SIGNATURE OF CONTR LLIP�G OFfICEHOLDER,CAN�IDATE,OR STATE MEASURE PflOPONENT <br /> Executed on By <br /> DC�TE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDA'TE,OR STATE MEASURE PROPONENT <br /> FPPC Fox�m 410(1an/2016) <br /> FPPC Advice;advice o�ufppc.ca.gc:+u(866/275-3772J <br /> www.fppc.ct;.;;vv <br />