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Recipient Committee Type orprlnt In Ink STATEMENT OF ORGANIZATION <br /> · , D.te et.mD <br />8,Mement Type ~nlti-I [] Amendmen! [] ,ermlnstlon-eee Part5 ~ ~ ~ ~ ?~ <br /> Not yet qualifiedly"or LIM I,D. number:, List I.D. number, ~, alii Use Only <br /> # # SEP g A 200Z <br /> <br /> ! I .1' - I I I <br /> ' -- CiTY CLERK <br /> Date qualified as ~ommlt~e Date qualified as ~3rnmlttee Date of Termination <br />1, Committee Information 2. Treasurer and Other Principal Officers <br /> NAME OF COMMI i ] ~E <br /> <br /> CIm mA~ ~P ~ ~ ~F ~SI~~.U~R' I~ ~Y ~A~ ZIP ~ ~ C~ <br /> NO ADDREe~ (IF DIFF~ENT) ' <br /> <br /> O~IONALI F~ I E-~IL ADDRE88 CI~ ~ . I lt. '] --, ~, , ~p ~1 __ . ~ COD~H~E <br /> <br /> NAM~AND POS~ION O~ O~E~ p~INCI~ O~ICER(E) IF APPLIC~LE <br /> COUN~ OF DOMICILE ICOUN~ WHERE ~ " <br />  COUN~ OF DOMICILE . <br /> <br /> ~ ~ ~A~ ~P C~E AR~ COD~HONE <br />3, Verification <br /> I have used ;il ressonsble dillgenoe In preparing thl~ ~tetement and to the be~t of my kn~ledg~tlon ~ntained heroin <br /> oerluw undnr thn [~Of ~- o,.~ cf ~[If~r~ :~ ' <br /> <br /> F ~ ~' DATE <br /> <br /> Exerted on <br /> DA~ · . ~ ~ - <br /> 81O~ <br /> <br /> FPPC Form 410 (J=nl01) <br /> FPPC Toll. Finn Hnlnlln~ ~8~A~K. PPPC <br /> <br /> <br />