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Statement of Organization <br />Recipient Committee <br />Statement Type ❑ Initial <br />Not yet qualified ❑ or <br />I if <br />Date qualified as committee <br />1. Committee Information <br />NAME OF COMMITTEE <br />Elect Gee for Council 2018 <br />STREETADDRESS (NO P.O BOX) <br />351 Montserrat Dr <br />Type or print in ink <br />Q Amendment <br />List I.D. number: <br /># 1315847 <br />STATEMENT OF ORGANIZATION <br />Dale Stamp • - , <br />i <br />RKEIVED AD FILE • - <br />❑ Termination — See Part 5 in it e office of the SecrNetary of Stat For O aal Use Only <br />List I.D. number: of the State of California <br /># 5 zot7 I <br />9 I 18 12017 1 <br />Date qualified as committee Date of Termination <br />(If applicable) <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />Redwood City <br />CA 94065 650-483-7412 <br />MAILING ADDRESS (IF DIFFERENT) <br />SAME <br />OPTIONAL: FAX/E-MAIL ADDRESS <br />650-610-9221fjeff@jeffgee.org <br />COUNTY OF DOMICILE <br />COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT <br />THAN COUNTY OF DOMICILE <br />San Mateo <br />Attach additional information on appropriately labeled continuation sheets. <br />SEP 4- RECEIVED <br />APR 2 6 mm <br />2. Treasurer and Other Principal Office <br />NAME OF TREASURER Lily or Kedill City <br />Jeff Gee City Clerk <br />STREET ADDRESS <br />351 Montserrat Dr. <br />CITY STATE ZIP CODE <br />Redwood City CA 94065 <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS <br />CITY <br />STATE ZIP CODE <br />NAME AND POSITION OF OTHER PRINCIPAL OFFICFFI IFAPPLICABLE <br />MAILING ADDRESS <br />CITY <br />STATE ZIPCODE <br />AREA CODE/PHONE <br />650-483-7412 <br />AREA CODE/PHONE <br />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 infor ation cont ' Brain Is true and complete. I certify under penalty of <br />perjury under the laws of the State of California that the foregoing is true and correct. <br />Executed on September 18, 2017 Bir x G <br />DATE N T G F S ' RASSISTAN TREASURER <br />Executed on September 18, 2017 <br />DATE By <br />Executed on Big <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT <br />Executed on By <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT <br />FPPC Form 410 (January/05) <br />FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) <br />