HomeMy WebLinkAboutCARSON 410 08/04 AMEND
Statement of Organization K/~ Typeorprlntln ..,k q 1.f1,:2~
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Statemant Type Olnllal ~ Alnendment o Termination - 5<le Part 5 Far otIcl.' Us. Only
Not yo! qualified 0 or sf. LD. ....ber: UOI LD ","",or: CEIVED AND FIL D
r'/~ f4S""'. '4 Alffi-? MIlO: e olliee of the 5eaelaty of 51
# # . 0101e State of California
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[)ate {JJafiflad as commffiee Dele "",aUted as committee Dole or TeminaliOn .J
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1. Committee Information 2. Treasurer and Other Principal ( Ie
Z:o;:;;;'/h< /i ~d - NÞME Œ TREASURER
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AME ct= A361SlAt.lT TREASURER, IF A.NY ~
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STREET ADDRESS þ
rMlLJNiJ ADDRESS {IF QIFFEREffT} ~
em' STATE ZIP CODE AREA COOEJPHCI'<E
OPTlONAL~ fAX 1 E·MA.IL ADDRESS
r.¡,a..ME AND POSITION OF OTHfR PR1N.CFI'\.. O'FFICER(S), IF APPLlCAßLS
cOlJmY OF [)(MCn..'E COUIILTVWHERE. COMMITTEE 15 ACTIVE tf DIFFERENT
THANiOOLMYOFCChlClLE NALtIlW Þl:ORESS þ
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AttacI1srJdlioos¡ infomtollonOlToppropriately lobsle<! conlim",lions/Jeo(s. N
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3. Verification ~
I have u.edall reasonablediligBnce in praparlng this stetem<>nland tQ 'hebe.tolm~ knowledge the inl...metiancontained hereln Is Irueand camplate. I certìl~under panalt~ of '"
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pe~u¡yundeTthe laws oIthaS1ataofCalllornlathal theloregoing is true and correct. '"
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Execulied on 2-/0 By. ~.~
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ExecLded on By 'Zl-;r~LI~ ,
5TRE MEÞ.SU~E pROPOI£HT :"
Exeroted on By '"
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