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. <br /> .. "i <br /> A. <br /> Statement of Organization ������� DateStamp � . , <br /> Recipient Committee FILED�e Ci � <br /> Statement Type ������ <br /> �initial ❑ Amendmeirt ❑ Termination—See Part 5 For OHicial Use Only <br /> Notyetqualified� or �istl.D.number: Listl.D.number: APR O3 ZO13 <br /> MAR 2 0 2 13 <br /> a � <br /> CH,Chi@f E ' �'��TY OF F�ED�iVOflD ITY <br /> � � �—� � � CITY CLERK <br /> Date qualified as committee Date qualified as committee Date of Termination BY <br /> �If app8cable) �P� <br /> 1. Committee Infarmation 2. Treasurer and Other Principal Officers <br /> NAME OF COMMITTEE �d ih�Y� 1 �Q Q Ti� C�?\�C'�T i_rr�1�- �G�'1 h1 i CIT'NAME Of TREASURER <br /> �ar 'R2C�WOQC� LiY'j C:.oc�nc� � Zor3 Cs-�.o: � ina � . � GJ �S <br /> STREET ADDRESS(NO P,O.BOX� STREET ADDRE55(NO P.O.BOX� <br /> - ?�dw����+ c ��Tj, cA �lyo6� <br /> QTY STATE ZIP CO�E AREA CO�E/PHONE CITY S7ATE 21P COD[ AR[A CODf/PHONE <br /> MAILING ApDRE55�1f DIFfEPENT) NAME OF ASSISTANTTREASURER,IF ANV <br /> FAX/E-MAIL ADORE55 STREET ADORESS(NO P.O.BOX) <br /> COUNTY OP DOMICILE JUR�SDICTION WHERE COMMITTEE l5 ACTIVE CITY STATE 21P CODE AREA CODE/PHONE <br /> NAME OF PRINCIPqL OFPICER(S) <br /> STREET ADOftE55(NO P.O.BOX) <br /> Attach additional information on appropriately Iabeled continuation sheets. <br /> CITY STATE ZIP COOE ARFA CODE/PHONE <br /> 3. Veri 'cation <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 <br /> penalty of perjury under the laws of the State of California tf�at the foregoing is true and correct. <br /> Executed on `�� Z/ • 2� �3 gy �(�/ri� <br /> DATE � SIGNATURE OF TREASURER OR ASSISTANT TftEASUREN <br /> executed on � ' Z � ' �f 3 ey_� � ,�(���, <br /> DATE SIGNATURE OP CONTROLLING OPFICEHOLOER,CANDIDATE,OR STATE MEAS�HE PROPONENT <br /> Executed on gy <br /> DATE SIGNATURE OF CONTROLIING OFfICENOIDER,CANDIOATE,OR STATE MEASURE pROhONEM11T <br /> Executed on gy <br /> � DATE $IGNATURE OF CONTROLUNG OFFlCEHOLDER,CANDIDATE,OR STA7E MEASUFE PROPONENT <br /> FPPC Farm 410(Dec/2012) <br /> FPPC Advice:advice@fppc.ca.gov(866J2753772) <br /> www.fppc.ca.gov <br />