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410 Statement of Organization Recipient Committee - Amendment(2)Statement of Organization Recipient Committee 1.17 CALIFORNIA FORM Kirsten Squarcia at 3:48 pm, Oct 20, 2020 Statement Type Lj Initial Q Not ict qual laud O D3tP yl.0 bfi CiUurt thr"'h6d nlc t ® Amendment i].:E tC l WsllfluatEoii tfuc liold nicl ❑ Temtinatian — See Part 5 RECEIVED U.!t! Of 1r tlnlm_6c'n By , 1. CommittRe InfiDrimation I.D. Number 1369332 ROBERT MCCOY FOR COUNCIL 2020 2.: fteasurer and Other Principal Officers BLOSSOM MCCOY 20488 STEVENS CREEK BLVD J11101 20488 STEVENS CREEK BLVD 111101 CUPERTINO CA 95014 CUPERTINO CA 95014 Attach adchPorol �r orrnar)oir on oppropriately labeled continuation sheets_ i',av' , u �1-n ail iEdSGnai)w (JI IEEell Lt Ill flItf)dE EnV' tl Wl JL11LCEiICnt WILE w uEC IJ—k — uiY niEwviCur�� I I I c I I I L V I iiiouviE lvi1l0111t-U I— -1 II I EIUE 0 1 1 U l VEI JIL tC I I lEiy Ll l(TL'I pee al'y of perjury Lido the laws of the State of Calif OCTOBER 20, 2020 OCTOBER 20, 2020 FPPC Form 410 (Auru',t/2018) FPPC Advice: aclk)n, 2)fpix.[; .;nv (866/275-3772) WL':wfn ri.i:ov