410 Termination 1-25-2009 tatement ofOrganization -- - -~ ---- - srATEMENTOFORCANIZATION
Recipient Committee Type or print in ink ~~ ~~''~
[1111. ~ If11 ~ a ~ ~ / ~
Statement Type ^ Initial
Notyetqualifed ^ or
_J~
Date qualified as wmmittee
1, Committee Information
^ Amendment
List I.D. number
_J~
Date qualified as committee
pf applicable)
® Termination-See
List I.D. number:
#1277455
01 t 25 ) 2010
Date of Termination
NAME OF COMMITTEE
Friends of Dolly Sandoval
2. Treasurer and Other Principal Officers
For official Use Only
NAME OF TREASURER
Etl Hoffman
STREETADDRESS(NO P.o.BOX)
10720 Alderbrook Lane
STREETADDRESS (NO P.O. BOX)
10720 Alderbrook Lane
CITY STATE ZIPCODE AREACODEIPHONE
Cupertino CA 95014
408f125.8939
MAILINGADDRESS (IF DIFFERENT)
CITY STATE ZIP CODE AREACODEIPHONE
Cupertino, CA 95014 4081725.8939
NAME OFASSISTANTTREASURER,IFANY
STREETADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREACODEIPHONE
OPTIONAL; FAXIE•MAILADDRESS
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE ISACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Santa Clara
Attach additional information on appropriately laheled continuation sheets.
NAME OF PRINCIPAL OFFICER(S)
same as above
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIPCODE AREACODEIPHONE
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 ar
Executed on January 25, 2010
DATE
Executed on January 25, 2010
DATE
Executed on
DATE
Executed on
DATE
By
By
I certify under penalty of
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SI NATURE OF CONTR LLING FFICEHOLDER, CANDIDATE, OR STATE MEASURE PROP NENT
=112f~1b'
FPPC Form 410 (JunelOtt)
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