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Statement of Organization Type or print In Ink <br />Recipient Committee <br />Statement Type ❑ Initial <br />© Amendment <br />Not yet qualified ❑ or <br />List I.D. number: <br />MAILING ADDRESS (IF DIFFERENT) <br /># 1315847 <br />J� <br />9 18 / 2017 <br />Date qualified as committee <br />Date qualified as committee <br />650-610-9221/jeff@jeffgee.org <br />(u applimblat <br />1. Committee Information <br />COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT <br />NAME OF COMMITTEE <br />THAN COUNTY OF DOMICILE <br />Elect Gee for Council 2018 <br />STREET ADDRESS (NO P.O. BOX) <br />351 Montserrat Dr. <br />❑ Termination —See Part 5 <br />List I.D. number: <br /># <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />Redwood City <br />CA 94065 650-483-7412 <br />MAILING ADDRESS (IF DIFFERENT) <br />SAME <br />OPTIONAL: FAX E-MAIL ADDRESS <br />650-610-9221/jeff@jeffgee.org <br />COUNTY OF DOMICILEI <br />COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT <br />THAN COUNTY OF DOMICILE <br />San Mateo <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 <br />perjury under the laws of the State of California that the foregoing is true and com <br />Executed on September 18, 2017 By <br />DATE <br />Executed on September 18, 2017 By <br />DATE <br />Cafe Stamp <br />RECEIVED <br />SEP 2p 2017 <br />STATEMENT OF ORGANIZATION <br />sft==- I ' <br />For Official Use Only <br />Date of Termination City of Redwood City <br />rrih, morn <br />2. Treasurer and vullzr rrmclpal vrnCerB <br />NAME OF TREASURER <br />Jeff Gee <br />STREET ADDRESS <br />351 Montserrat Dr. <br />CITY STATE ZIP CODE <br />Redwood City CA 94065 <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS <br />CITY <br />STATE ZIP CODE <br />NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE <br />MAILING ADDRESS <br />CITY <br />the <br />STATE ZIP CODE <br />AREA CODFJPHONE <br />650-483-7412 <br />AREA CODE/PHONE <br />AREA CODE/PHONE <br />complete. I certify under penalty of <br />11�0� <br />PROPONENT <br />Executed on DATE Ry <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />Executed on By <br />GATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MSAS URE PROPONENT <br />FPPC Form 410 (January/06) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276.3772) <br />