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Statement of Organization STATEMENTOFORGANIZATION <br /> Type or print in ink Da�e Stamp <br /> RecipientCommittee ��(;EIVED • � � � <br /> Statement Type � �nitial ' �,Amendment ❑ Termination—See Part q 9 Fo�oa�c�ai use onry <br /> Nofyetqualified � or LisU.D.number LisII.D.number: .JUL 4O LO�� <br /> � �s/3 � CITY OF REDWOOD CITY <br /> _J i JJ J_J CITYCLERK <br /> Date qualified as committee Dale qualifed as committee Date of Termination <br /> (If applicablel <br /> 1. Committee Information 2. Treasurer and Other Principal Officers <br /> NAME OF COMMITTEE NAME OF TRE SURER <br /> (Zosn,�ne -l�"ous�- � C, �Y Cvu✓�ci�� ��7� 1 R��,rc� S. C1�4,��p <br /> STREETADDRESS(NO PO.BOX) <br /> . <br /> . STREETADORESS(NO P.0.80X) CITY STATE ZI ODE AREACODEIPHONE <br /> �� ���. v�roo c� G'� y G�f- �i 401�a � <br /> CITV � ( STATE ZIPCODE AREACODE/PHONE NAMEOFASSISTANTTREASl1R R,IFANV <br /> ��Db ` �`� j Gy� 9YDGa �S I/',�/S ��P/(y STREETADDRESS(NO P.O.BQX) <br /> MAILINGADDRESS(IF DIFFERENT) <br /> QTY STATE ZIPCODE AREACODEIPHONE - <br /> OPTIONAL: FAX/E-MAILADDRESS <br /> NAME OF PRINCIPAL OFRCER(S) <br /> COUNTY OF DOMIGLE COUNTY WHERE COMMRTEE IS ACTIVE IF DIFFERENT <br /> 1 THAN COUNTY OF DOMICILE STREETADDRESS(NO P.O.BOX) <br /> �✓� ��Vl.l '�� � �(�I <br /> - CITV STATE ZIPCODE AREACODE/PHONE <br /> Attach additional in/ormation on a ropriatety labeled confinuation 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 penally of <br /> perjury under the laws of the State of California that the foregoing is true and correct.:, � �� „ <br /> . , ' : ��j . .' / <br /> Executed on � � ,7-(7 � l gy 6%/!rkC��L"��=�' '• �-LI��C�/ <br /> �HTE , n � SIGN4TURE0`�ERORASSISTANTTREASURER <br /> // <br /> Executetl an . gy �!� <br /> DP E SIGN?TURE OF Gp TROI IN�OFFlCEH DER.CANOIOATE,OR STHTE MEASURE PROPONENT <br /> Executed on gy <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANOI�ATE OR STATE ME4Sl1FE PROPONENT <br /> Executed on gy <br /> DATE �I NnTURECFCONTROLLINGOFFI EH L�ER, ANDIDATE, STNTEA9EA UREPR PON NT <br /> FPPC Form 410 (Apri112011) <br /> FPPC Toil•Free Helpline: 86filASK-FPPC (866f2753772) <br />