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Statement of Organization <br />Recipient Committee <br />Statement Type ❑ Initial <br />Not yet quallfied ❑ or <br />I I <br />Date qualified as committee <br />j Type or print in ink <br />® Amendment <br />List I.D. number. <br />#1347115 <br />I I <br />Date qualified as committee <br />(If applicable) <br />1. Committee Information <br />NAME OF COMMITTEE <br />Redwood City Teacher's Association Political Action Fund <br />STREET ADDRESS (NO P.O. BOX) <br />1235 McAllister St. #318 <br />CITY STATE ZIP CODE <br />San Francisco CA 94115 <br />MAILING ADDRESS (IF DIFFERENT) <br />— POBox6101.18-Redwood-Cjty_, CA 94061.- --- --- ---- -- <br />OPTIONAL: FAXJ-E=WAILADDRESS <br />13 IV -7 l 1 STATEMENT OF ORGANIZATION <br />Date Stamp <br />�. ,, <br />� s ice' F�,.i?•::'.:; � u �; <br />❑ Termination - See Part 5 in�th,3o fhP Gflthe S ; r t ^r !�f��. <br />For Official Use Only <br />List I.D. number: <br />5 2013 <br />MAR 2ry <br />Date of Termination rt; al l M'at B <br />2. Treasurer and Other Principal Officers <br />NAME OF TREASURER <br />Sean Higgins <br />STREET ADDRESS (NO P.O. BOX) <br />1235 McAllister St. #318 <br />CITY STATE ZIP CODE <br />AREACODERHONE <br />San Francisco CA 94115 <br />NAMEOFASSISTANTTREASURER IFANY <br />(415)307-8205 <br />AREA CODE/PHONE <br />(415) 307-8205 STREET ADDRESS (NO P.O. BOX) <br />- - - - - -- -- — - -CITY <br />COUNTY OF DOMICILE COUNTY WHERE COLIMITTEE IS ACTNE IF DIFFERENT <br />THAN COUNTY OF DOMICILE <br />San Francisco San Mateo <br />Attach additional information on appropriate y /a ele wnt1huall6n sheets, <br />-. ---STATE----ZIPCODE-------.AREA-CODE/P-HONE- —: -- -- ---- <br />NAME OF PRINCIPAL OFFICER(S) <br />Bret Baird <br />STREET ADDRESS (NO P.O. BOX) <br />510 Driscoll Place <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Palo Alto CA 94306 (650) 255-2623 <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. 1 certify under penalty of <br />perjury under the laws of the State of California that the foregoing Is true and correct. <br />Executed on 3/6/12 By <br />DATE SIGMA OF URER OR ASSISTANT TREASURER <br />Executed on By <br />DATE NAT RE OF CONTR ING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />Executed on BY <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />Executed on By <br />-- .. - DATE - SIGNATURE OF OONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT - <br />FPPC Form 410 (April/2011) <br />FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) <br />