HomeMy WebLinkAboutCLOUD 410 AMEND 09/12/16RECEIVED AND FILED
in the office of the Secretary of
Statement of Organization of the State of California wt. star,
Recipient Committee
Statement Type El Initial Amendment $EP 15 2016
❑ Termination– SaePartS 16SEP 13 P
NolMqudifietl� w tilt I.D. number : un I.D. DGmeer:
116 SEP 22 AM q1 43
a }
—/ —J— — /�— — / —J—
Date qualified aswmmidee Date qualified ascommittee ome of ieFminadon
Illpgbdel
STREET
��
Em STATE all C 1RFA COOFnMOxE
MANINGAOORE551— IFFERENTI
.1 E MMLAOORE55
COOmY OF DOMIou mrsamrTUR, HIA1 COMMITE E IS.OME
�CT(r j2 G1ke:(2.�ie�f�
Attach additional information on appropriately labeled continuation sheets.
121.45
T? ^d; 3 02
6 M
S!)IOb.I QOLAA
STRATADDRIESS (NO I'D r=
NAME OF ASSISTANT TREASURER, IF ANY
STREET ... AE. I.F. For Rmd
.TY snot BY CODE AR"CODUPNONE
NAME OF PRINCIPAL OFFICROU
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 Card th �t tthhe ff /ofrjegJOing is a and correct.
Executed on 1 – I7� / b By °
Executed On
By
ExacutGd on
DATE
�—(-
2 1 Cr
� IUHU uxc om ctxolotR, <AxO1w E,
oxRE MEssuRE ROroxxT
DATE
SIGNATOREOF CONTROLLING OEFICENOLDER,C ANDIDATE,
OR SATE MEASURE FROPONENT
Executed on
BY
DATE
SIGNATURE OF CONTROLLING OFFICEIGO R, GNDIORTE
OR STATE MEASURE PROPONENT
FPPCFOrm A10(lan /2016)
FINK Advice: advlce@fppc.m.gav (866 /275 -3772)
MF -fppc -ca- m