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Borgens 03-15-2015 Amendment City 410
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Borgens 03-15-2015 Amendment City 410
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Last modified
9/4/2019 9:30:02 AM
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9/4/2019 9:30:02 AM
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Political Reform
Political Reform - Document Type
Campaign Statement
Name
Borgens 2015
Committee Name
Committee to Elect Janet Borgens RWC Council 2015
Identification
1374422
Treasurer
Hollis Matheny
Date
1/5/2015
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� <br /> �. ''� ��, ��-.�� <br /> M' ..� ',!� <br /> r ' M T� � <br /> .. . .�. •Y ��� � <br /> Statement of Or anization DateSWmp . � . . <br /> Recipient Committee � ����p�'� ��� ��L� • . � <br /> StatemeM Type in t e of�ic�e o`i�-�e Sec'efa�Y of St�t �� <br /> ❑initial m Amendment ❑ Terminatio�—See Part 5 pf?h��t�at,nf Ca":i� ����`r <br /> List I.D.number: List I.D.number: � �� <br /> Not yet qua�fied❑ or ���' �� �!�� <br /> # 1374422 # <br /> 02 20 2o�s Mp,y � 5 Zo15 <br /> -l--/ ---./---,/ .-/-! t�r����r <br /> Date qualified as committee Date qualified as committee Date of Terminatfon ��,�,,r ap(�EC3W� <br /> (If appXcabk) <br /> 1. �t1lfM1��€@ lt1�Q�'�IfB#�411 2. T�'83�SI�Tl:E'�t�Q!'�1�1'Pi'�1��1�� <br /> NAME OF COMMITTEE NAME OF TREASURER <br /> Committee to elect Janet Borgens Hollis Matheny <br /> STREET ADDRESS(NO P.O.BOXI STREET ADORESS�NO P.O.BOXJ <br /> <br /> C17Y STATE ZIPCODE AREACODE/PHONE CITY STATE 21PCODE AREACADE/PHONE <br /> Redwood Ci#y CA 94063 ( Union City CA 94587 ( <br />� MAIIING ADDRE55(If DIFFERENT) NAME OF ASSISTANT TREASUREfl,IF ANY <br /> FAX/E-MAIL ADORESS STREET ADDRESS(NO P.O.BOX� <br /> COUNTY OF DOMIQLE lURISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE ZIP CODE AREA CODE/PHONE <br /> San Mateo Redwood City <br /> NAME OF PflINCIPAL OFFICfR(5) <br /> STflEET ADDRE55(NO P.D.BOX) <br /> Attach additional information on appropriately lobeled continuation sheets. <br /> ��Ty STATE ZIP CODE AREA CODE/VHONE <br /> � I have used all reasonable diligence in preparing this statement and to the best of my kno. ledge the information contained herein is true and complete. I certify under <br /> penalty of perjury under the laws of the State o lifornia that the foregoing is true a correct. <br /> 04/12/2015 ` <br /> Executed on By <br /> DATE G ATUREOFTREASURERORASSISTANTTNEASURER � <br /> E,���o„ 04/12/2015 BY yz-� <br /> DATE SIGNATURE OF CONTROLIING OF CEHOLDEH,CANDIDATE,OR STATE MEASURE PNOPONENT <br /> Executed on By <br /> QATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE VROPONENT <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIOATE,OR STATE MEASUflE PROPONENT <br /> PPPC Form 410(Dec/2012) <br /> FPPC Advice:advice�lfppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br />
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