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Statement of Organization ate'stamp CALIFORNIA <br /> Recipient Committee RECEIVED 410 <br /> Statement Type ❑ Initial ® Amendment <br /> ❑ Termination — See rt5 Only <br /> Q Not yet qualified JAN 31 2020 <br /> or <br /> O Date qualification threshold met Date qualification threshold met Date of termination <br /> City at Redwood City <br /> 08 / 06 t 2018 / / Cmj Clcrk <br /> S. Committee tnformation LD. Number FPPC#1408859 2• Treasurer and Other Principal Officers <br /> RfoPplicable) .. <br /> NAME OF COMMITTEE NAME CT TREASURLR <br /> Jason Galisatus for Redwood City Council 2022 Cindy Galisatus <br /> STREET ADDRESS(NO PC BOX) <br /> <br /> STREET ADDRESS (NO RO. BOX) CITY STATE 21PCODE AREA CODE/PHONE <br /> Redwood City CA 94062 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASS15TANT TREASURER, IF ANY <br /> Redwood City CA 94062 <br /> FULL MAILING ADDRESS (IF DIFFERENT] STREET ADDRESS (NO P.0 BOX) <br /> EMAIL ADDRESS (REQUIRED) I FAX(OPTIONAL] CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br /> COUNTY 7F'DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE NAME OF PRINCIPAL OFFICERS) <br /> San Mateo City of Redwood City <br /> STREET ADDRESS (NO RO. BOX) <br /> Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE <br /> 3: Verification <br /> I have used all reasonable diligence in preparing this statement and to the of tT knowledge the information contained herein is true and complete. I certify under <br /> penalty of perjury under the laws of the State of California that the foreg t i tr r ,ect. <br /> Executed On 01 /29/2020 By <br /> DATE NATURE OF TREASURER OR ASSISTANT TREASURER <br /> Executed on 01 /29/2020 <br /> By <br /> DATE <br /> SIGNATURE OF CONTPOLLING OFFICEHOLDER, CANDIDATF, OR STATE MEASURE PROPONENT <br /> Executed on By <br /> GATE SIGNATURE OF CONTROt I INIS 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 (August/2018) <br /> FPPC Advice: advice @fppc.ca.gov (866/275-3772) <br /> www.fppc.ca.gov <br />