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Statement of Organization <br />Recipient Committee <br />Statement Type ❑ initial ❑ Amendment <br />0 Not yet qualified <br />or <br />0 Date qualified as committee — <br />L' Committee,information <br />NAME OF MITTEE <br />Corrin RanCOMkin for City Council 2013 <br />STREET ADDRESS (NO P.O BOX) <br /> <br />CITY <br />Redwood City <br />MAILING ADDRESS (IF DIFFERENT) <br />E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) <br />corrinr@gmail.com <br />COUNTY OF DOMICILE <br />STATE <br />Ca <br />0 Termination - See Part 5 <br />1 9 17 <br />RECEIVED <br />JUL 2 7 2017 <br />Date qualified as committee Date of termination City of Redwood City <br />(If amending to Provdie INS date) <br />City Clerk <br />I,.D. 80umber {if applicable} 2, Treasurer and Other Principal Officers <br />NAME OF TREASURER <br />Kathy Erken <br />STREET ADDRESS (NO P O. BOX) <br /> <br />ZIP CODE AREA CODE/PHONE <br />94063 <br />JURISDICTION WHERE COMMITTEE IS ACTIVE <br />San Mateo <br />Refill 1 Ask -4111 , 1 <br />AIIIIIIIIIIIIII <br />For official Use Only <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Redwood City Ca 94063 <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS (NO PQ BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />NAME OF PRINCIPAL OFFICERS) <br />STREETADDRESS(NO P.O BOX) <br />Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE <br />I have used all reasonable diligence in preparing this Staten <br />penalty of perjury under the laws of the State of a fornia <br />Executed on i •% ��d - By <br />DATE <br />Executed on :117By <br />DATE <br />Executed on By <br />DATE <br />Executed on By <br />DATE <br />in 2W6' the best of my knowledge the information contained herein is true and complete. I certify under <br />at a foregoin I true and correct. <br />IG ATUN RE OF TREASURER OR ASSISTANT TREASURER <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410(May/2017) <br />FPPC Advice: advice@fppc.ca.gov (866"27S-3772) <br />www.fpPC.ca.gov <br />