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Statement of Organization STATEMENT OF ORGANIZATION <br />Recipient Committee Type or print in ink Date Stamp <br />Statement Type (-I InitialNot yet ti [] or ~] Amendment ~ Termination - See Part 5 i ~ ~ ! ~I ~ For Official Use Only <br /> quail;ed List I.D. number: List I.D. number: <br /> # # eS"lJ'~'~ .Il JUL 3 1 2000 <br /> <br /> Date qualified as committee Date qualified as committee Date of Termination <br /> (If applicable) <br /> <br />1. Committee Information 2. Treasurer and Other Principal Officers <br /> NAME OF COMMITTEE NAME OF TREASURER <br /> <br /> MAILING ADDRESS <br /> STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE A~:~EA~C~ODE/PHONE <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TF~__ASURER, IF ANY <br /> <br /> MAILING ADDRESS (IF ) <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br /> OPTIONAL: FAX / E-MAIL ADDRESS <br /> <br /> NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE <br /> <br /> COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Attach additional information on appropriately labeled continuation sheets. <br /> <br />3. Verification <br />I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained hdmis true and complete. I certify under penalty of <br />perjury under the laws of tl3e State of California that the foregoing is true and collect. <br /> <br /> Executed on 7~-~ 3~'By ~'~ <br /> ".7_'.,/ oA,- -- <br /> Executed on 7/(,~/~:t~ By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br /> <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br /> <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br /> <br /> FPPC Form 410 (8~99) <br /> For Technical Assistance: 9161322-5660 <br /> <br /> <br />