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r ' }�� _ <br /> ... '` .�` � , <br /> Statemerit of O�,�anization STATEMENT OF ORGANIZATION <br /> Recipient Committee Type or print in ink oate Stamp � . <br /> , , � 1 <br /> SWtement Type � Initial � Amendment � Termination—See Part 5 D� LS � LS 0 U l� r� For otrciai Useony <br /> Not yet qualified � or List I.D. number. List I.O. numbec �l J UN 1 0 2008 � <br /> # # <br /> � �IN OF REDWOOD CITY <br /> _J_J _J� _�J CITYCLERK . <br /> Date qualifed as committee Date qualified as committee Date of Termination <br /> (H apPlirabk) . <br /> 1. Committee Information 2. Treasurer and Other Principal Officers <br /> NAMEOFCOMMITTEE NAME OF TREASURER <br /> Citizens to Protect Redwood City Political Action Committee Mary Mortenson <br /> STREE7 ADDRESS <br /> Redwood Ciry CA 94062 <br /> STREETADDRE55(NO P.O.BOX) CIN S7ATE ZIP CODE AREA CODEIPHONE <br /> Redwood City CA 94062 <br /> CRV STATE ZIPCODE AREACODE/PHONE� NAMEOFASSISTANTTREASURER,IFANY <br /> P.O. Box 2163, Redwood City, CA, 44o(,�I-21b 3 <br /> MAILINGADORE55(IF DIFFERENT) STREET AODRESS <br /> CITV STATE ZIP CODE AREA COOE/PHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS - � <br /> NAMEAND POSITION OF OTHER PRINCIPAL OFFICER(S),IFAPPLICABLE <br /> COUNTV OF�OMICILE COUNTY WHERE COMMITTEE IS ACTNE IF DIFFERENT <br /> THAN COUNTV OF DOMICILE . <br /> MAILING ADORE55 <br /> San Mateo County <br /> CITV STATE ZIPCODE AREACODFJPHONE <br /> Attach additionel informafion on appropriately labe/ed continuahbn sheets. <br /> 3. Verification <br /> I have used all reasonable diligence in preparing this statement and to the best of my knowled e the info etfsri�ontained herein is true and complete. ! certity under penaity of <br /> perjury under the laws of the State of California that the foregoing is true a <br /> Ezecutedon /rJ�O�a9�o�r gy . <br /> � TE SIGNATUREOFTREASURERORASSISTANTTREASURER <br /> Execufed on gy <br /> OAiE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE.OR STATE MEASURE PROPONENT <br /> 6cecuted on gy � <br /> DATE SIGNATURE OF CONTROLLING OFFICEHpLOER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> Executed on - gy <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDI�ATE,OR STATE MEASURE PROPONENT <br /> FPPC Form 410 (January/05) <br /> _ FPPC Toll-Free Helpline: B6WASK-FPPC(866l27S3772) <br />