HomeMy WebLinkAboutABRAHAM 410 tatement of Organization
Recipient Committee
Statement Type J~ltlal
Not yet qualilied ,~or
Type or print in Ink
[] Amendment
List I.D. number:
[] Termination - See Part 5
List I.D. number:
Data Stamp
I
Date qualified as committee Date qualified as committee
(If applicable)
Date of Termination
Zd.&i.:~,~ i:L I:!TY CLI
1. Committee Information
NAME OF COMMIT~'EE ~ ' NAME OF TREASURER
~LING ADDRESS (IF DIFFERENT)
2. Treasurer and Other Principal Officers
STATEMENT OF ORGANIZATION
STRE~ET 'ADDRESS
CITY
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS
For Olficial Use Only
~K
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
COUNTY OF DOMICILE
l?[~AbNNc]~uWNHETfFoEFCDOoM~I~iT[[I: IS ^CTIVE IF DIFFERERT
Attach additional information on appropriately labeled continuation sheets.
3. Verification
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 taws of the State of California that the foregoing is true a~ect.
CATE // / I -- /1 ($1OJI~TI,/ItREoF~:~=--ASURERceA$SISTANTTRFJ~,~URER
Executed on ~ '"~ 37 By
[ SIGNA~RE~F C¢~4T~.LING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLUNG OFRCEHO!.DER. CANDIDATE. OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROI.UNG OFFICEHOLDER- CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 4t0 (Jan/01)
FPPC Toll-Free Helpllne: fi66/ASK-FPPC