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� <br /> Statement of Organization � y1��,Q V/� DateStamp � � . , <br /> � �1 �..� �� ; , <br /> l�ecipient Commit e � - '� <br /> Statement Type r (nitial �. ❑ Amendment ❑ Termination—See Part S R CEI�iED A�it? �ii.� or omaa s� <br /> List I.D.number. List I.D.number. � e o��of the Secretary ot Ste ��� � �;� <br /> Not yet qualified ❑ or Of thB State of Califomia �� ��` �� <br /> # # APR 07 2015 APR 17 2d1� <br /> �i��i ��� i—i i i <br /> Date qualified as committee Date qualified as committee Date of Terminatio� <br /> (If appi(cable) F RE�W(j�'2(;��-�.� <br /> � NAMEOFCOMMITTEE � NAME OF TREASURER � � � <br /> sh�. o< d n � ��. -. o, �.Qi� S <br /> STREET AD RE55(NO P.O.BOX) STREET ADDRE55( O P.O.80 � <br /> �yc� C�`,r�,,, 5k�e.� '��10 C�; .��,�, S��k <br /> CI Y STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> [l Q�.�o��. ��� e A ��a��, (�D � ���( -D3�fi� Q �.� a �: C; � � v - r �03 <br /> AILIN6 ADDRE55(IP DIfFERENT) NAME OF ASSISTANTTREASURER,IF ANY ' <br /> FAX/E-MAIL ADDRESS STREET ADDRESS(NO P.O.BOX) � <br /> 5�,� 5�-�l �r_ �N. <br /> COUNTY O DO 1 LE � IURISDICTION WHERE COMMITTEE�5 ACTNE �CITY STA7E 21P CODE � AREA CODE/PHONE � <br /> S eo e� 0 � C; C A <br /> � NAME OP PRINqPAL OPFICER(5) <br /> STREETADDRE55(NO P.O.BOX) <br /> Attach additional information on appropriately la6eled continuation sheets. <br /> � QTY STATE ZIPCODE AREACODEJPHONE <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 pe�jur under the laws of the State of California that t foregoing is true and correct. <br /> Executed on �"���. /i0 gy v_ �'�"a� <br /> DATE / SIGNATURE OFTREASURER OR ASSISTANTTREASURER <br /> Executed on �� �� ( � S gy �'""�''' <br /> � OATE SIGNATURE OF CONTROLLING OFFIC OLDER,CANOIDATE,OR S7ATE MEASURE PROPONENT ��� <br /> Executed on gy <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR S7ATE MEASURE PROPONENT <br /> Executed on gy <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT � <br /> FPPC Form 430(Dec/2012) <br /> FPPC Advice:advice@fppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br />