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Statement of Organization <br />Recipient Committee <br />Statement Type ❑ Initial ❑ Amendment <br />Not yet qualified <br />or <br />Q Date qualified as committee <br />Date qualified as committee <br />❑ Termination—See <br />Date of termination <br />Date stamp <br />RECEiVED <br />5 <br />JAN - 3 2018 <br />City of Redwood City <br />City Clerk <br />For Official Use Only <br />1. Committee Information I I.D. Number <br />(if applicable) 2. Treasurer and Other Principal Officers <br />I <br />NAME OF COMMITTEE ,t" " NAME/OF TREASURER <br />6riw ' I�A�e.'�0'C �Z o�G�r�`CovACAIZOIT /ftISG��� wale, - -- <br />dSTREET ADDRESS (NO PO BOX) <br /> <br />STREET ADDRESS (NO To BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> , o L1 C � ci�{O�Z / �( <br />CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTA�EASURFF. IF ANY f <br />{-eJwoojUt CA— `tko(nZ OOO <br />MAILING ADDRESS (IF DIFFERENT)) STREET ADDRESS (NO PO BOX) <br />EMAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE <br />oJ\561atrvtoL, e ® orW1, . Gurr <br />CO UNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE NAME O F PRINCIPAL OF FICER(S) <br />STREET ADDRESS (NO PO BOX) <br />Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE <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 <br />penalty of perjury under the laws of the State of'rCalal�iiforni/iaa�that the foregoing is true and correct. <br />Executed on if 3f I U By p/ /`y(i pt <br />^J CAIE _ SIGNATURE OF TREASURER OR ASSISTANT TREASURER <br />Executed on 2 1 .7 DkTE) C6 By <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT <br />Executed on By <br />DATE <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT <br />Executed on By <br />DATE StG NATURE Or CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410 (October/2017) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />