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HomeMy WebLinkAboutBERTRAM 410 AMEND 05/01/16Statement of Organization Recipient Committee Statement Type ❑Initial Not yetqualiried ❑ or —J —/- Da[e qualRetl as wmmittee NAME OF COMEATIBE Martin Bertram for City Council 2010 0 Amendment ❑ Termination – See Part 5 HIDE LD. number: list D. number #950347 # 00002010 Date qualified as committee Date of Termination IR.eI STREET ss (NO DO. eon MAILING ADDRESep F DIFFERCEI Kern Attach additional information on appropriately labeled continuation sheets. NAME Of IRFAIDPEe Martin Bertram Date Stamp 16 MAY 16 PM 2145 6AII- FILiCICII'i CLERK srREET ADDRESS He e.o. can e,T, aTATF III CODE AREACODEUexDNE STREET ADDREEEaD Pe. eon CITY „ATE 0, ELIDE AREA CLEF/ NnNE NAME of PRINCIPAL DmeERlet Martin Bertram STREFTADDRESSP+OTE Ron TAT, FATE ,IetoDE AREACODFE>NDNE Verification sz, I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the fore g is rect. Exeeutedon 05/01/2016 By % DT TRE, ,DRERDRARM DATE ETANTTREAURER Exacutedon 05101/2016 By SIGNATURE OF CONTACE N'DFncexo.DSR, C,NOmATE. aA STATE MFnsueIe RDe NExT Executed On Da, By 94xATURE OF COxTRDWx4 OFncENOmER CArv°mATE, DR FATE MFASDRS FROVaxmr EEeatedon By EMI "AHE ATURE aF COxTROwxu OW2ENOEDE0. CANDIDATE, ouTATE MEASURE Ecavoxem °" FPPC Form 410 (Jan/2016) FPPC Advice: adalogit p ue-BEL ov (866/275 -3772) www.fppeaul gov