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5tat�ement of urganizaUon <br /> "`Recipient Committee <br /> Amendment <br /> �Check box N an Amendment <br /> end enter I.D.number: <br /> n � `) � 7Sa <br /> INSTRUC710NS ON REVERSE <br /> Flle originel and ons eopy with: <br /> Secretary of SWte <br /> Poli6cal Relorm Division <br /> P.O.Box 1467 <br /> SacramenM,CA 95812-1467 <br /> Counry end Cily Committeea tfle a copy with:f.. <br /> Local filing olficer wlw will receive ihe original � <br /> disclosure slatements. <br /> Type or print in ink <br /> Date qualified as committee�J�� �Not yet qualified <br /> NAMEOFCOI.AAITfEE <br /> C� ��,�,� ;tt�ee �' �lec� <br /> ��R.r--hc�c` �-'i e,t—c E, <br /> ADDRESSOFCOMMIT7EE NO.ANDSTREET(NOP.O.BO%) <br /> .71 <br /> S�� �Nlc�-Fe � <br /> GTV STHTE LPCODE AREACODE/PHONENUMBER <br /> OPIIONAL: AREACODF/FAXNUMBER OPfIONAL E-MAILADDRESS <br /> STATEMENT OF ORGANIZATICN <br /> L ; ' � (' ' 1�(y <br /> JUL 2 1 1999 <br /> Ci��v tf-- '-'.:'..Y.r�?Oil CITY <br /> c.l�l .��c�< <br /> Officers <br /> NAME AND POSITION OF OTHEF PRINCIPAI OFFICER(S),IFAPPIICABLE <br /> � <br /> MAIIING ADDRESS <br /> <br /> CRY STATE LPCODE AREACODE/DAYTIMEPHONE <br /> �.il...�.. <br /> � <br /> <br /> 3. Verification <br /> I have used all reasonable diligence in preparing this statement and to the best o nowledge the in(ormation contained herein islrue and complete. I certify <br /> under penalty of pery'ury undqer qthe laws of the State of Cali(omia that the forego' ' t and correct. <br /> Executed o� 7� L � / / gy �—• <br /> DA pE SIGNATUREOFT EASURER <br /> Executed on � — � `� / gy � <br /> DAT - .............�..�.....................�...�.......�......._....__ _..__.�.""""_'_ <br /> Executed on <br /> Executed on <br /> w� <br /> By <br /> SIGNRURE�fANTAOWN60FFICEHOLDER,CANOIUA7E,OR Si�iE MEASURE PROPONEM <br /> By <br /> SIGNA7UqE OF CONTROLLING OFFICEMOLDER,CANDIWTE,OR STATE MEASURE PROPONEM <br /> FOR INFORMATION REOUIRED70 BE PfqJIDEDTOYW PVR5UANT107HE It�ORAU710N VMCTICES ACT OF f 977,SEE <br /> FPPC Form 410 (?/98� <br /> For Tachnleel A�slstenee: 976/322-5660 <br />