HomeMy WebLinkAbout410 08/01/2008 Statement of Organization Recipient Committee Initial Charles AntosStatement of Organization STATEMENT OF ORGANIZATION
Recipient Committee Type or print In ink Date Stamp .
Statement Type ® Initial
Not yet qualified ❑ or
❑ Amendment
List I.D. number:
_I —I
Date qualified as committee Date qualified as committee
(If appl,,aW)
1. Committee Information
NAME OF COMMITTEE
ADDRESS (NO P.O. BOX)
CITY STATE
I:1
❑ Termination - See Part 5
List I.D. number:
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ZIP CODE AREA CODE/PHONE
U11 ING ADDRESS (IF DIFFERENT)
ADDRESS
COUNTY OF DOMICILE I COUNTY WHERE COMMITTE
THAN COUNTY OF DOMICILE
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Attach additional information on appropriately labeled continuation sheets.
Date of Termination
RECEIVEDI For Official Use Only
AUG 0 1 2008
CITY CLFF
CITY OF SEAL
2. Treasurer and Other Principal Officers
NAME OF TREASURER
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STREET ADDRESS
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f � / -7N � E ZIP CODE
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AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
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STREET ADDRESS
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\ 5 f & -3Y 711
CITY STATE ZIP CODE
AREA CODE/PHONE
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NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
MAILING ADDRESS
STATE ZIP CODE AREA CODE/PHONE
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.
perjury under the laws of the State of California that the foregoing is true a
Executed on �?- 2 - a9'
DATE
Executed on 5 - -dg
DATE
Executed on
Executed on
DATE
By
I certify under penalty of
By /
CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (January/05)
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