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Statement of Organization <br />Recipient Committer <br />Statement Type (/ <br />/L -/00.7f <br />Not yet qualified <br />or <br />0 Date qualification threshold met <br />Committee Information <br />❑ Amendment <br />Date qualification threshold met <br />I.D. Number <br />(if applicable) <br />0 Termination — See Part 5 <br />Date of termination <br />Date Stamp <br />RECEIVED AND FIL <br />in the office of the Secretary of <br />of the State of California <br />MAR 04 2019 <br />reasurer and Other Principal Officers <br />State <br />4.,„/MAR <br />VE <br />2019 <br />Riuersldc <br />NAME OF COMMITTEE Sk,eVI� 1-'c / en <br />Co tin c \ two\ Nr \lo s( ao 1 <br />STREET ADDRESS (NO P.O. BOX) <br />NAME OF TREASURER <br />(5)-eVi <br />1 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE l i <br />(v <br />CITY STATE ZIP COD A A PH N NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS (NO P.O. BOX) <br />FULL MAILING ADDRESS (IF DIFFERENT) <br />E -MA <br />ADDRESS (REQUI RED)/ FAX (OPTIONAL) <br />Uj4 Y 0 DOMJURTION WHERE COMMITTEE IS ACTIVE <br />t {LcICILE ISDIC <br />verse <br />Attach additional information on appropriately labeled continuation sheets. <br />CITY <br />STATE <br />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 pre <br />penalty of perjury under the laws of the S <br />afa i R <br />Executed on By <br />DA <br />E <br />Executed on r2/02 <Z 1 1 By <br />AT <br />Executed on By <br />DATE <br />Executed on By <br />DATE <br />ein is true and complete. I certify under <br />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 />FPPC Form 4101,(Aut/2018) <br />FPPC Advice: advice@fppc.ca.gov (866/175-3772) <br />www.fppc.ca.gov <br />