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Statement of Organization <br />Recipient Committee <br />Statement Type <br />❑ Initial <br />Q Not yet qualified <br />or <br />Q Date qualification <br />eGest\le9 <br />61,%70 <br />0 Am CA IC"g OVACe <br />Oti c Gw,{KS <br />threshold met Date qualification threshold met <br />// <br />1. Committee Information <br />I.D. Number <br />(if applicable) <br />/ / <br />•...vr... v..r !'1..L/ 1 <br />in the office of the Secretary of State <br />of the State of California <br />Date Stamp <br />JL N 19 2019 <br />la Termination — See Part <br />Date of termination <br />/ (0, iek7c <br />For Official Use Only <br />JIJ 124 API 10: 1 6 <br />EGISTRPR OF a <br />COUNTi p .�© R� <br />U <br />.°,Treasurer and Other Principal Officers <br />NAME Oi COIMplp 5 i< L L tS �! , �'/ <br />EL <br />it l 11'L3 (0E1 C d 7t L C UC -C r 4 -- <br />LZ -LC --'17 ` 't /L <br />STREET ADDRESS NO P.O. BOX <br />CITY <br />f G2 (Pc <br />STATE <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 />JURISDICTION WHERE COMMITTEE I5 ACTIVE <br />Attach additional information on appropriately labeled continuation sheets. <br />3.' ;Verification <br />NAME OF TREASURER <br />STREET <br />CITY STATE <br />(z/ l'lis <br />CA - <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS (NO P.O. BOX) <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 />II have used all onable diligence in preparing this statement and to the best of m and oledg <br />, )1 e the information <br />contained herein is true and complete. <br />penaltyperjury ertur under the laws of the State <br />Executed on / �' / G/ By <br />DATE f <br />Executed on By <br />DATE <br />Executed on By <br />DATE <br />Executed on By <br />DATE <br />OF TREASURER OR ASSISTANT TREASURER <br />SIGNATURE 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 />I certify under <br />FPPC Form 410 (August/2018) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />