HomeMy WebLinkAbout410 Statement of Organization Recipient CommitteeI 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
SIGN ATURE OF CONTROLLING 9FFICEHOLDER, CANDIDATE, OR STATE MEASIIRE PROPONENT
Executed on
Executed on
SIGNATIIRE OF CONTROILING OFFICEHOL[)ER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.zov
oftheStat*ofCalifomia ECE[IV CE(]'V[E
Statementof0rganization JAN802023 DateS'mp ffi p ' j sOeuaa;rtizxrt+/'yrxrzi++eiei "" - '
S'akemen' TYPe 0 Initial g Amendment Termination - See Part 5 'o"'9
0 Date qu"alification threshold metl Date qualification threshold met Date of termination C U P ERTINO CITY g !# jERT)NO CITY CIIERK
.i i .i i 'a i 8 i
(f appl!cable
NAMEOFCOMMITTEE NAMEOF.TREASuRER
srpu'
STREET ADDRESS (NO P.O BOX)
E-
COIINTYOFDOMICILE WHERE ACTIVE NAME OF PRINCIPAL OFFICER151
ZIP CODE AREA CODE/PIIONE
STREET ADDRESS iNO P.O BOX}
Attach additional information on appropriately labeled continuation sheets.
CITY STATE AREA CODE/PHONE