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<br /> <br /> <br /> S#atement of Organization lype or print in ink STATEMENT OF ORGANIZATION Recipient Committee Date Stamp . - . , <br /> ~ <br /> Statement Type ? Initial ? Amendment ~ Termination - See Part 5 For otflcial use only <br /> Not yet qualified ~ or List I.D. number: List I.D. number: <br /> # # - <br /> 1 / <br /> Date qualified as committee Date qualified as committee Date of Termination <br /> (If apphcable) _ <br /> Committee Information Treasurer and Other Principal Officers <br /> NAME OF COMMITfEE NAME OF TREASURER <br /> Committee to Elect Hilary Paulson Peggy Bruggman <br /> <br /> Alden Street <br /> STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> Country Club Drive Redwood City CA <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> Redwood City CA Hilary Paulson <br /> MAILING ADDRESS (IF DIFFERENT) <br /> Club Drive <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX / E-MAIL ADDRESS Redwood City CA <br /> NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE <br /> COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT <br /> THAN COUNTY OF DOMICILE <br /> MAILING ADDRESS <br /> San Mateo <br /> Attach additional information on a CIN STATE ZIP CODE AREA CODEIPHONE <br /> ppropriate/y labeJed continuation sheefs. <br /> Verification <br /> I have used all reasonable diligence in preparing this statement and to the best of nowledg rmation contained herein is true and complete. 1 certify under penalty of <br /> perjury under the laws of the State of California that the foregoing is true and ect. <br /> Executed on IYiv 245b ?L gy AAA& <br /> TE E REASURERORASSISTANTTREASURER <br /> Executed on o ~ gY <br /> DATE - IGNA E OF 2NRNG OFFICEHOLDER, CANDI ATE, OR STATE MEASURE PROPONENT <br /> Executed y <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br /> Executed on gy <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br /> FPPC Form (January/05) <br /> FPPC Toll-Free Helpline: 8661ASK-FPPC