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Statement of Organization <br />Recipient Committee <br />Statement Type <br />/4/b/7J- <br />1,-- <br />❑ Initial <br />® Not yet qualified <br />or <br />O Date qualification threshold met <br />/ / <br />1. Committee Information. <br />0 Amendment <br />Date qualification threshold met <br />I.D. Number <br />(if applicable) <br />0 Termination — See Pa <br />Date of termination <br />NAME OF COMMITTEE C 4t' <br />n A FCI �"�� � pw�✓ <br />1? -4 t 2> ettd, Kj�.u/nc'Y c i i- w c T 3' '�^�J�E)J% iJ <br />�`� gplc( <br />STREET ADDRESS (NO P.O. BOX) <br />11111111111111111111111 <br />CITY <br />STATE <br />C <br />ZIP CODE <br />AREA CODE/PHONE <br />FULL MAILING ADDRESS (IF DIFFERENT) <br />E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) <br />COUNTY OF DOMICILE <br />�l U EieS ib t± <br />JURISDICTION WHERE COMMITTEE I5 ACTIVE <br />-tksziesibE I CSA <br />Attach additional information on appropriately labeled continuation sheets. <br />NAME OF <br />x pse .2\. <br />STREET ADDRESS (NO P.O. BJX) <br />x <br />Date Stamp <br />RFCEIVED AND FILE <br />rtigtie office of the Secretary of State <br />of the State of California <br />FEB 202019 <br />asurer and Other Princij <br />CITY <br />BAR <br />9 <br />STATE <br />ZIP CODE <br />AREA CODE/PHONE <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />NAME OF PRINCIPAL OFFICER(S) <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE ZIP CODE <br />AREA CODE/PHONE <br />3. Verification <br />I have used all reasonable diligence in preparing this <br />penalty of perjury under the laws of the State of Cali <br />Executed on <br />DATE <br />Executed on 2 _- 1 « 1 {Q <br />By <br />DATE <br />By <br />Executed on By <br />DATE <br />Executed on By <br />DATE <br />on conta <br />ned herein is true and complete. 1certify„under <br />SIGNATURE OF TREASURER OR ASSISTANT TREASURER <br />GNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />O'1 <br />FPPC Form 410 (August/2018) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />