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410 Statement of Organization Recipient Committee - Amendment Stamped by SOS
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DaeeStan�p 9r���y���`yf��M���?��,��yi�'�"��' v!w "(���� 4 �"u",��d��t�:4,�� �„rv�?�'�iCd"����'��: � � ,:. �y �,�a +� ��', yl tr Cr, „� � yy � $r$���E11B�L.9'�Y � � �1� ��n�%��J��+".��'�a� kr �''s � �, �' 1'� @t�i9,i�l �i"� l•8rruen�a�s�erdk [] 'Y'errnin��ias-o—S�ee P��s-�s �'�� ���'�'���''��°��r >��� '�i Not yet qualifi�d ❑ or List I.D.num6er: List I.D.number: �'+ �;� I I I �� 1 a�7��� �.__�_�______._.__ ��ty����s���x ����±� �°��w4�;��i J SEP — 6 2016 !�_;i�� ._". in tie of�c<G"r t�e�cc��t�E�y���f�+;xl- i �� ��..� ���� t)�t�1�S�i3te r�f�;,=�p�`�<%�a'•� �_.....�._./_._...�.....,�__.�.... ��Ifapplica610......_m..�.. �._._._...._......1_._._..,..._....,. ��SA �� ���9A+ .___-_— —__ __ _._....�,� � ��� D�te qualifie;d as commit�ee �ate qualiFied�s commit4ee � Date of Te�rn'snatieii � � C U PE RTI N 0 C ITY C L.�_�- '; I �� „a,.,� .., .�,, n,�<n �,�ar..�r,�,a.,�.� ,�.e��, m, �,�,� �r�: rm� a�.:�, ,p �µ��.,��..� • ,���.Q�F �� �,,,�„�,�,, s�u. �.��.D�"$@�'2�k.�,�i':S", ��i�P'�"����°�i:��$�"�x �. . .�: ;l, ,1: °;.r ; ,:;'�. . � ��r�+u:h�� „��.." �� ' �,x.Nwaa��w,�,a.xrwr �aamouna.a rr+�-�a,nn+?u��.m�w�� � _�_ � .a _ �:. .. _...; ..�: ... _.�... ... � ;:. �.�`�'. _ ...����� .������9����°,6'����r��.s�,��„���rc�:�'�.. . ��� .: �dAM[CFCOMMITTEE . NAME OF TRF.ASURER � ���� �� �� F��d Sir�ks f�r�C�ity Ca�rrci! 2Q16 � �a�c�ai�;;��r� v�on S���r� � � STREEI'HI)Dk[SS 1�0 P.O.ROx) '_ ._..-..__�.._�....._,_.,........,._.._.._.__..._._.....r.....,...�_........_....._._.........._. ����'����� ._.�..,_._.._..__._.._,_..�....._..._.�.___....._.._.�.._..�.._�.,...�.�_....__._ .._._.._......_..__.... ._____...,_.. _..,..�.._._._..__.__.__.__.... ,___._+._._,_._......�.._...._____..�._._,__......_...,..___..__...._.___.w.,...��._�....,�....._...�.._. STRf:ETACIDRESti(i•!O?.O.BON) CIIY STATE ZIPCOUE l+f:ENCi�DE/PhSQfd"r' � �.� �—___..._ �_..�_.._.,,..�_.._.__.m___..r.__.__.._....._..._,.,...,_....__....__,,,.�._...._...�_.._�. ��;�a��r�b��cr Cf� J���� (� ��c��� :.�br�ks �P�IAILING ADDNESS UF O:Pf-[RENT)�Y����v����y��4��.�.��������_.�____M,..,_____,.�w..�__._,. -'•. SiRELI�AODFtE55(NO P.O.�OX) �------.__.�._.�_.._._.._._�_____.�"_'_.�.___,_ -- .___.___..___.�.._.,.�._._W_.._ _____.__ ._._.FAR/E-MAtI.AUDkISS._..._.. - .__..,. 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CIiY..+.................� .�._..r.�.__.....S�fATE�_.._ ZIPCOOE ....r...._._�11�EACOUE/YFI;)�.�F..._..�� �9tt�rr:h ac�drfic�nda�!infc�rrr�aficzr�c�n ap�roptic�t�ly laE�eP�cf continuatior7�neets. ci �q�";3 1's �uur�w; .�ar�m.r a.+s. :.u�n.ma,'arawcmr k»+�:�am� n�aammwrac, r��.�?�wan+�,w.+����m�nae �w.m:vmww .c:r rwaT..�.,xcnv�.cam.-nn _ _' q p v{ �n� mr.�m yr�u '�v ����I��e�U�CnR���n'i� .., � ... ... . .. , . . . . . �r am � � � tz�fd+�:us�:d�sf! f�s��sarr�F�!e a�i��c.recf ��z ��ri:�p��r�re�;ihis st:�t��rr�errt:�ar�d ta the f�esi:uF my f:;ncrtPdic�c�E�e o-h�> irtiic�nn��tian car72�7¢ne:r; lierein i,iruc:and con7pl�tc.. E c�:����fy ui�d�e;� �enaliy af�3rr��ry under�I�e=fa�Fvs of th�St<.tc af Ca,6iforr7ia tfiat the egain�;s tru�anu corrcct. E>:ecufed on __ �>�!°l.��_J_�.�:.'����^..:Y,. �% CONiROLLIPJG OFPICEfIOLUER,i:ANUIDP.TE,OR SlA7E NEASUkF PFIOPON[I�!T �_��W Fxecutec!on �}, _.._._._._,____...__._....._._____...�..__ _,._........_..w_..__.___.......�_......_�w.._,..._......._._....�..,._____..._......_....W.......,.._.............__,._..,�_.. __.,.�..�.._.._....__.._ .___..,..�. ��A�E SIGNATURE GF COIVTftOLLING CiFF�ICEfiOLUEIt,CANDIUATE,OR til"ATE MFASIIHE PROPONENT� �Xl;CU1:f.C�Q7'i E�v ._.W..._...._._..._.,___...___.,.__.�...�..__........_.w.. ' ..,...._._..._�.__._...�_. ....,.� _.._.�...__.....�._�_._._..._.._.._,...�_. .�.�_.......__......_...�_._._..__...._.�...._ � ��r�� SiCiWF�,TURE GF C6NTS'.OLI.IfJ6 QI�FIC�HOLi)EF,Cl;fdDIU.4TE,UIlSTFlI"C MEASURF PROPO�EMT L'���.��k.��;PCt"09�V��.Y�(�9�E"!��4YbFi� Fa��Y��',�'cc2annsel:��r�ars�cs:���i�aq:rc,r�.ge�e�(e;�r�>/�X.w•�:�;"3':�:J �,.��a�u�i.�'gs�ar,�c�3.t:;�n�.� ����� �uz^��V�f�r����f�����` .a t�;,�` ��m ����;���cm����� ��' �:laj��Er�����:i���� tit � 4ri' �'�� � � '��Y "�';'�`"�` � 1 � ���d���:o�� ��c����€��:�� . � ��'' . � � INSTRUCI'ICNS QN REVERSE Page'L COMMITTEE NAME I.D.NUMB[R f�od Sir��cs foi� C.at� �oui7cil 2016 1�£376j� _. .�.�..� . ... . ... �._,.�....m.�........ ,_ . . . .. . ...��.�. . . , .. � � All cc»nmi4icees rr+Gsi EisC 9he financial irvstiYution e+�hoere the caenpai�n bank accnunt is toc��ed. NAI'dE OF f�INf•.RCIidIPoST�fIIlI�I!7W � ���• � ARF.ACO[lk/PFICIPlE �� BANKACCOUNTNUMKFft y�� Wefls Far c� I�anlc ( �� � � ��.,,.�_____n.��.,�,�..n��.�,.�.�:�a�„��. . . . ... �..�.w,,�.,,,�.��,�,.�,�..,=.,.v.�..�s.m.�����.�,. _ __ .. � � , +°�.�'�yq'�''��cz',Q����.+%!�'i�C`k��W�"�„4"�_ i�try�il�i�L�E.'4'E1�. ��?�'1�!(:r3�f�C.'���C'�o.�OPY�, -. ���� . .... . 4 , . ., ��S���sl�? �vi. ,x," a� $ +� ���� 0 � LI51 tIl? Yl�iip�O�F�lCII Ci71'VI I'O�IIII�Oft10EIlUI1�L'I; canciida�.c,OI"Sta$�G11e�ISUfC�f0(�OC1E11�. I'�C:311dI�li1�L l'DC O�1C�IlOI(�E C COtItP'OIIE'CI,also list the elec2iv�office sc���(;�7i:or�heid,�nci cJistrict nurrikrer, if any, �in��the year of the eBectian. « i.�st rhe po�a�;c�ii nar�5�r.vith��vhicl�each c,fficeholder or c�andidate is affiliated or check"nonpartisan." m If this camrniitee acts jointlV tuith another contralfed c��rnrnittee, list the name anci icir�nti�ication nurnk,er of the ottter contrc,led committee. CLECTIS'EOFfICESOUGNTOR I1ELD N�ML UF CA.NDIDA7E/OFF1C[HOLDER/STFlTE MFASURF PROP(.1Ri:NT (INCLUDE�IS'I'RICT NUI.A6ER{F APF!.ICABLE) YFAR OF EI.FCfION PARTY � PSonpartisan Ftod :�in��s t���3ertinc� C;oty Ca�a���c91 ___ ��?1G�_ ._�. - _..�______.__�..,_._._.._�...,_._.�._..._.__.._,�.._._. _..._..._. .�_._..._ .—._ C� PJcnpartisan �`��i •: R�:e,� p ,����`�� �'riiriarily fiormed�u s�7�ort or op;rc�se sE�ecr�ii:caridi�iates o� r�tir��sures in a singEe electroun. E.ist b�:lov�r: �: t�,�;�i9'��� CANDIDATE(5)OFFICE SOUGHT OR FIFLD OR MCl:SUIiE(S)JURISDICTION CANDIbA'fE(S)Nl,f.4C'O(��J�cASURF.(S)FUL!.71iLF(INCLUDE[;ALI.f:�7 NO.Ofi LETTERj (�ti�CLU�E DfSTRIC.T NO.,CITV OR CQUNTY,AS APPLICAFiLE1 cNecr.on�F _r.-.. ...._.__�_..........__._.. ._�__._..._._.....Y_. �._... '__-�-...�_. _._.. SUPFOFlT Uf�I�GS[ ._._. _._.. �rsa� .�-��..._ �_.._�_r.._......._..,.___�,......._...._._ .._ �_ ... .__....._......... . .Y�__......�__-.._�. SUPPORT � O!PPC):L � I_�� �.r�re�r�rxn���(9uez/701.G} W�PF�C Ac�vie�e:�c�wi��r+E�.3�ic.ca.�rJv{85�,d�1!�-3�72� u�rt���r.f�r{ac:.r a.g;aw 1' rl I �'.�'/ r 1j1,� � � �7�1T�. M�•<� ����e��:�►�:r�� c���� �.�t���rd����:��r� ,�'r ,�� �f;�� ���A�a�" ,� ��r. � G��c;s�ri�a'a�. �€�s�o���:�:�;€� ., ���` . � �� 1���`kl� �' e+ ry �n�1 t�e� , y�;'. �d' 4.R .!.'.�. ..,::tJ C� ...3;a.F :�t;, WSTRUCf1;1NSON kEVEkSL' nag�.'e COM14t�11TTEE NA�4E I.D.NUMBER Rod �inlcs far City Council 2�1� -S;�37E;7� _�....__.__ .�s-�.m�.�.,�.��.�.���-_�.....�.�r.�.��,_._..__.....,.,�o..��,�.-�,.�>rs� �...�.,�.�.z.-:� -v4�.,.Ts.,�ti--a.�:-., ��,uar-��Y.�.ti.�.�,.�.�v:�.._���.���: ^ < - -� _-- - --�---: �r.����,C1��t'�9`9�R'i'4R��!k? :: (Gontiriuea} `. _. _ _ , � , ,.w-.,�. �.�:� . �,������`i,���`�, . Not form�ci to sui�port or oppose sp�cifi�r.anclidates or mc_asures ii7 a single el�ction. Check oniy or�e box: �^^ �., L� �.SFY t,CYk�'9P41C$�Gf: � �..CI�.�P��TV CO�YYYP'IG�:4?t3�,.�] �'�",�'1'F�aaf�oraif.tr�� I'ROVIDE BRIEF�ESCRIP710N UF ACTI\�ITY �_N ��^_"��W� n1F �.a '..7�d'�.. ' A��� F� W�,a � , List additional s onsars ctr,an attGCIltYle�lt. NAIAEOFSPO�SOR ���_~VJ Y+— • INDUSTRYGRUUFORAFFILI/1TIONOFSPGNSOR ���+�~ u�_�_—•-.Y�. STRE`_TADUHESS ��� ttO.ANC157REET �.�.•� CI�fY •� ��• S7P.T[ ZIPCODC +�••�W� —V•�WT•��+�W� �r.!- ��r ,N�i-,����` .. �_....._._...._.��_.._...�_�!._._.._._._.. Da[c quaiifizd -.P^mm:sn�v.mmxumaac�.�wuannaamamm ka�nrm�r a•:nnma.wmr.w x::e+.ov..-uuM,�wwrwrr-w.x .vm:n�mwmm.m+nnemw¢urv+Gw�ve�rrcww�,�w.�amxuaa��munanco��am�v mnuw. �vnvKmr.�i+�auwcawu¢a�um��m+�mraa��ua:+�nwnmrrw�ou:;wwmovuwdw�wnuti.m��rwfa. .nwww,vexvnu�nvu�wm�m:vwmu�uawvrnca'ww v+�mavx+.awmmnw.e. , . :- . , �aa� �.w•,�' . �n , H�, � ;�;, t � . .,-z stant trc:a,i,rc.a�n ilc;carid�a;�tc c�fi�cetz�iJer,or �r���onent ceriify ttiat�Ii nf the fofiovJin�corcl�tiatis iiavt*her.ri rntt: . ,; �.�t'r4t"C��F���.��C��� �,���:�.F�k+f.6�9c..�'��.�_ �3y�i�nir�Ft�.,u.r�, ..y�,c.r�,..hetr�.�ss.�rE.r,as.i � _ � r r __ . _ _ E� 1"I�'ss r.oi^Zini[lee hd�c:���;srrci tc� rec�ive rE�ntrik�i;tior�:,��rid rna!<e exper�dii�.�res; � This eomrnittee does not�nticipate receiving c�rrk.ributions or ma{cing exp�nditures in th�e fi.�ture; • i his con�mittee has eliminated or has no intei�t�on or ability to discharge ali clebts,loans received,and other obligations; = This c.ornrnittee I-�as no surplus funcfs;and e This com��iittee has filea all camnai�;n sYat.erreents rc�quired by ihe Political �tefc�n��Act discle�sin�alf reportabl� tr-ansactiais. — �I�I�t�rF�are E-e;I:i'lCt10615 ClSI�'f!f'_d15�)CD51�lCill U{54.i"�:?iJS ean�nai�r�fttrlcss hefd by c,6E�ct��c�ciPsicers v,.sV�o are ie.avin�c>f�ice ancr` by defeated cai�didates. Rcf�r t.o Gnv�ri-�mer�t (;U�9e.'�ie�rtic�n$S!•i19. -- Leftover feir�cls oi ballot n7easure.corr�mittecs or�:ay be used fo� �sa{itical, 9�gisfative ar gavernmcnta! purpases unc�er Goverriment Code Secfiorzs 8y511-89518,Und are subject tc� Electiaris Cc�dr Section 1&68U and FPf�C Ftegulation 18521.5. �'�����'C.f{)Y'079 RZQ�.�i4Y9,��.��.�s� E��'��:Baai�+oce:��ver..e(c7G�g'ac..^.ta.@;o�^(�45�i/�75-3R7:�) Nri4f V1.f(.B�".+C.CS.gG'J