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410 Statement of Organization Recipient Committee Amendment address changeStatement at Organization Recipient Committee Statement Type IJ Initial Notyet qua€i5ed ® or NAM! OF COMMCITEE ® Amendment List I.D. number: 1384110 Date qualified as committee Date qualified as camm!ttes (Il appiiwbh) Paul for Council 2014 ® Termination —See Part S List LD, number; f / Efate of Termination STKZET ADDRESS (NO R.O. ROX; For Offl6al Use Only CITY STATE ZiP CODE AREACODEfPHONE CA 95015 (408)517 -0977 NAIAE OF ASSISTANT TREASURER, IF ANY Darcy Paul SFR£ET ADDRESS [NO P.C- 6oxj P.O. Box 1273 CITY STATE 218 COVE AREACODEIPRONE CA 95015 (408)517 -0977 NA:NE O= PRINCIPAL OFFICER(Si STREET ADDRESS [NO RO, BUXI CITY STATE Z1P CODE AREA C0DEiPHONE ! 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 penalty of perjury under the taws of the CANDIDATE, OR STATE MEASURE PROPONENT Executed on gy �r DATE SIGNATURE OF CONTP.OLLI t4G OFFICEHOLDER, CANDIDATE, OR STATE MEASiJRF PROPONENT Executed on By DAt rr SIGNATURF OF CON7"O'UNG O'FF'CEHOLDER, CANDIDATE, ORSTATE MEASURE PRapONEXT FPPC Form 410 (D--c /2012) FPPC Advice: advice @fppc.ra.gov (8661275 -3772) www.fppc.ca.gov