HomeMy WebLinkAboutGILL RAJVIR 410Statement of Organization COG'` li'.
Date Stamp
4 ® -
Recipient Committee
®-
Statement Type N Initial ❑ Amendment ❑ Termination
—See Part 5
For Official Use Only
Q Not yet qualified
or
22 U G 22
//2�
���
0 Date qualification threshold met Date qualification threshold met
Date of termination
1o�
WE a - o e
s
I.D. Number
(if �PPtimble)
:; - ;slt �;a
1'
WERI 3F� -r7Y?;..z ?.r
"WE
i i�,
NAME OF COMMITTEE
NAME. OF TREASURER'
STAR E`tE�ADDRESS (NO P.O. BOX)
�j,
Lo
ADDRESS NO P.O. BOX)
H
STATE ZIP CODE AREA CODE/PHONE
V
MAILING ADDRESS (I D FFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY
STATE
ZIP CODE AREA CODE/PHONE
Cam
OF DOMICILE
IURtSDICTIO HERE COMMIT EE IS ACTIVE �(1
--7
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY STATE
ZIP CODE AREA CODE/PHONE
I have used all reasonable diligence in preparing this stateme
penalty of perjury under the laws of the State of Calif
/(o/��I
Executed on ^ S' % e / r By \
L D TE
Executed on By
DATE.
Executed on By
DATE
d to the best of my knowledge the information contained herein is true and complete. I certify under
foregoing is true and correct.
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE. SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice(@fppc.ca.gov (866/275-3772)
wWWJPPC.Ca.£OV