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�`\ v <br /> \ <br /> � ' <br /> •� Statement of Or anization �l DateStamp , <br /> Recipient +Comm ttee � �� I �3 R GEIVED AN� �=��.�'�� � � � � � <br /> Statement Type in t e of�ce of the S�cretary of St <br /> �Initial ❑ Amendment ❑ Termination—See Part 5 For Official Use Only <br /> Not yet qualified ❑ or <br /> List I.D.number. l.ist I.D.number: Of th2 StBte Of C2lifofE112 ,� <br /> � # �A� �3 zo�� R���� � <br /> 05 08 2015 <br /> ��� <br /> Date qualifie�mmittee Date qual fied as committee Date of Te�on H nd Delivered, Sacra ento Mq Y �o Z�15 <br /> �If applicable) C, <br /> 1. Committee Info�mafion `�2 Treasurer�;and.O�ther Principal Offi` `s : �t� ` �'' <br /> ,� . _ �y �_, ., � , _ � <br /> NAMEOFCOMMITTEE � NAME OF TREASURER � cI� ��c�TY <br /> C��pK <br /> Rosanne Foust for City Council 2015 Russell H. Miller <br /> STREET ADDRESS(NO P.O.BOX) STREETADDRESS(NO P.O.BOX) � <br /> <br /> C�TY STATE ZIPCODE AREACODE/PHONE CITY STATE ZIPCODE AREACODE/PHONE <br /> Redwood City CA 94062 ( Burlingame CA 94010 ( <br /> MAILING ADDftESS(IF DIFFERENT) NAME OF ASSISTANT TREASURER,IF ANY <br /> Kirk Alan Pessner <br /> FAX/E-MAIL ADDRESS STREET ADDRESS(NO P.O.BOX) <br /> <br /> COUNTYOFDOMICILE JURISDICTIONWHERECOMMITTEEISACTIVE CITV SiATE ZIPCODE AREACODE/PHUNE <br /> San Mateo City of Redwood City Burlingame CA 94010 ( <br /> NAME Of PRINCIPAL OFFICER�S) <br /> STREETADDRESS(NO P.O.BOX) <br /> Attach additional information on appropriately labeled continuation sheets. <br /> CITY STATE ZIPCODE AREACODE/PHONE <br /> 3: Veri_'cafion - �- ��� �.� 1 f t ,�r. � �:, -������� �; �,�, � -� <br /> ��� �. � -.�- �: � �.. _ . ti .: ,. :• .� <br /> I have used all reasonable diligence in preparing this statement and to the best of my�knowledge the�info ation contained herein�is true and complete. I certify under � <br /> penalty of perjury under the laws of the State of California that or going is true an correct. � <br /> Executed on 05/08/2015 eY � <br /> DATE � SIGNATUREOFTREAS�RER� ASSISTANTTREASURER <br /> Executed on 05/05/2015 B ' <br /> DATE y <br /> SIGNATURE OF NT OLLING OFFICE LDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> Executed on gY <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> Executed on gY <br /> DATE SIGNATURE OF CONTROLLING OFfICEHOLDER,CAND�DATE,OR STATE MEASURE PROPONENT <br /> FPPC Form 410(Dec/2012) <br /> FPPC Advice:advice@fppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br />