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r <br /> � ! <br /> `�� ;` <br /> �ta��l`i"i��`9� �� �1"��BIIZatlO�'B STATEMENTOFORGANIZATION <br /> Type orprint in ink @ <br /> Re�ipven� ����si�:te� �� . <br /> s° <br /> �n th� �#ice of the S�f�r��tary oi St � . � <br /> �t1i�Stat;:oi �:�'iforr�'� <br /> Statement Type Q Initial Q Amendment � Termination—See Part 5 Forbr�cy��ussoniy <br /> Not yet qualified Q or List I.D.number. List I.D.number. I U(� � � �;��; <br /> # 1'?�� `i t ��°t � k�t�ld�`�� `"� :� �� �,-� <br /> ��� -�i� <br /> —J-1 � ! =?' I%� : � �—J ��C����:� �'1s� ��C`��� <br /> Date qualified as committee Date qualified as committee Date of Termination <br /> (If apPlicab�e) - . - � <br /> 1. ���°��s��e� 3r�f�r��tion 2. �'�°e�s�re�as�d�#her�rin�i�al Officers <br /> NAAIE OF COMMITTEE i;' ,� ,,; �,,..� � , _ . - NAME OF TREASURER <br /> �-�� 'i._ c5.i Ei t- ' '._.�-'ri, +°. �>L.�; .� �7: <br /> �£- li. ^.-{��,�.""s.� .:.� .v. .�`i'y ti__ ..��t. � � , i.., r � �.:'� ,v js r'�� ..S i�s <br /> STREET ADDRESS <br /> STREET ADDRESS(NO P.O.BOX) li e t�+.�i'�.� /'� � �-�� L-"+ `��C°.}, <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> ;�' �� <br /> �� � lC�f`+�.! t.,.a'• r,,:,:-JT �',1 ' lw ; � (:..:: <br /> CITY STATE ZIP CODE AREA CODEiPHONE NAME OF ASSISTANT TREASURER,IF ANY <br /> "�• ' � �1,i � "�i`�{.•i�- F � ....�: �`4'i :�• <br /> �" � � ` � ��� � STREET AODRESS <br /> MAILING ADDRESS(IF DIFFERENT) ` <br /> .. - <br /> y`i,�°"� �"J �;,; ery i =� � i� 1. i� �`j1'`1 CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS <br /> �:.��� >>� i��;��1�1 , �t} tr�-I �;� � ' <br /> NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S),IF APPIICABLE <br /> COUNTY OF DOMICILE COUNTY WNERE COMMITTEE IS ACTI�/E IF DIFFEREN7 <br /> THAN COUNTY OF DOMICILE <br /> MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Attach additional information on appropriately labeled continuation sheets. <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. 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 rvt ,i �1 Z .:.-� . � , ; � e,% . ; ,, .-, <br /> 1-.-_- <br /> �A7[ � , SIGNPTURE OF TREASURER OR ASSISTANT TREASURER <br /> ! <br /> Executed on ��1 =�;� � a Z%;, z, gy .,. . : . ' l <br /> Dl1TE `�� �� SIGNATU E OF CONTROLLING OFFICEHOLDFR,C.4NDIDlSE,OR STATE MEASURE PROPONENT <br /> Executed on gy <br /> D�Tf_ S�GNfUURE OF CONTROLLWG OFRCEHOLOER.CANDIDATE,OR STATE MEASURE PROPONENT <br /> Executed on gy <br /> DnTC SIGN�UUP.E OF CONTROLLING OFFICEHO�DER.C/tNDIDti�E,OR SiATE MEASURE PP.OPONEPlT <br /> FPPC Form 410(Jan101� <br /> FPPC Ynll-FrPP;�felnline•8661laSK.FPPC; <br />