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Statement of Organization SfATEMENTOFORGANIZATION <br /> Typeorprintinink Dates�amp � � <br /> Recipient Committee � � _ � � � <br /> , ; — �°F� <br /> Statement Type �Initial ❑ Amendment � Termination—See Part 5 � ��;� , ; �, � e � ''� FarOffclalUseOnly <br /> Not yet qual�ed Q or Ust I.D.number. List I.D.number. t� � � I Im I�'��,+ <br /> # # � � �s FEB 1 0 2003 ;J <br /> �% 03 _�____� —�� o �v ,c,rv <br /> Date qualified as commiHee Date qualified as commit[ee Date of Tertninafion �-- � <br /> (rc epqiwde) <br /> 1. Committee Information 2. Treasurer and Other Principal Officers <br /> NMAE OF COMMITTEE NAME OF 7REASURER <br /> �7i�HR�D �. ��7/.�Z6 <br /> STREET ADDRESS � <br /> Ros�IN/�/E FDUST fr�Z C�Tj� �V�/GfL <br /> STREET ADDRE55(NO P.O.BOX) . CIT' STA1E ZIP CODE AREA CODE/PHONE <br /> �'T�-� C�iT✓ � 94�L � � <br /> Cm• S7ATE ZIP CODE ARE4 CODE/PHONE W+ME OF ASSISTANT TREA RER,IF ANY <br /> �E�w�,D c� e� 9�z � ,✓/ <br /> STREE7 ADDRESS <br /> MAILINGADDRESSQFDIFFER NT) `��j� <br /> /Y /P— <br /> CRy STA7E ZIP CODE AREA CODEJPHONE <br /> OP710NAL: FAX/E-MAIL ADORESS <br /> NAME AND POSITION OF OTHER PRINCIRIL OFFICER(5),IF APPLICABLE <br /> COUNTV OF DOMICILE COUNTV WHERE COMMITTEE IS ACTIVE IF DIFFERENT <br /> THAN COUNTV OF DOMICILE MAILING ADDRESS <br /> 5�� " '��� ��Ty STATE ZIP CODE AREA CODE/PHONE <br /> Attach additional in(amation on applopnatelylabeled continuafion sheets. <br /> 3. Verification <br /> I have used all reasonable diligence in preparing this statement and to the best of my knowledge the informatiL�ned herein 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 /> EXCCUICAOfI �/bID� � SIGWYURE FTREASIIRERORAS515TAIJTT1iEASURER <br /> DAT / <br /> � /�i � � . LJ� I�1 <br /> Ezecu[edon \ OATE � ` SIGWPUREOFCONiROLLINGOFFICEMOL�ER,CNNDIDWE,ORSTATEMEPSUREPROGONENT <br /> �e��� pp� � SIGNIYURE Of CONTROLLING OFFlCEMOLDER,CANDID�4E,OR STATE MEASURE PROPONENT <br /> Execuled on B1 <br /> pA� IGILYURE F CONTROLLING OFFICEHOLDER,CANDIO/PE.OR STATE MEASURE PROPONENT <br /> FPPC form 410(Jan101) <br /> FPPC Tell-Free Helnlinn�P66IASK-FPPC <br />