410 Statement of Organization Recipient Committee – Termination_Stamped by SOSStatement of Organization Recipient Committee of the State of Californi ~----------,-----------n;:-:r---------7 Statement Type D Initial 0 Not yet qualified D Amendment JUL 1 O 2023 Termination -se·e Part 5 or 0 Date qualification threshold met Date qualification tl1resl1old met Date of termination --1--1----1--·-1--,· I.D. Number , (if apµlicable) NAME OF COMMITTEE NAME OF TREASURER _) h I Wl °':--·f OY ( l)_.;r e r ·ff V"\ 0 To o cl (A_ L OL,tV1 CI l 2 0 Li 1. STREET ADDRESS (NO P.O. BOX) lolqS-Petrk s I Rt ET ADDR ·ss (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 10· 195 'Po.T k /r Gu., er-t, Vl v C.ft qs-o I 5to; CITY STATE LIP CODE AREA CODE/PH. ONE ) . (t:r-o ... t.J ' NAME OF ASS STANT TREASURER, Ir-ANY FULL M. ILIIIJG ADDRESS (IF DIFFCR[NT) \ ~TREET 1\DDRESS (NO P.O. BOX) [·1"1AIL ADDRESS (REQUIRED)/ FAX (OPTIONAi.) CITY STATE ZIP CODE AREA CODE/PHONE \ -Sh T V1'l °'-V rt!) l"vfY/M tA,,j COUNTY or DOMICILE IURISOICTION WHERE COMMITTEE IS AC !VE NAl"1E OF PRINCIPAL OFFICER(S) a. G o ro'-G-i·r Att(!ch additional information on appropriately labeled continuation sheets. 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. penalty of perjury undenhe laws ~f the State of California that the fo~~if!g is true and correct. 1I6j20 2.3 By ~-?V~/ Executed on Executed on Executed on Executed on 17 I b ?'2 Ci 2..,'j By _;~-' SIGNATURE OF TREASURER OR ASSISTANT TREASURER DATE SIGNATURE Of CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT By DATE SIGNATURE OF CONTROLLING OFFICHIOLOER, CANDIDATE, OR STATE MEASURE PROPONENT By DATE SIGNATURE OF CONrROI.I.ING Oi=FICEHOLDEI\, CAl'IIJIDATE, OR STATE MEASURE PHOPONEN1 FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov {866/275-3772) www.fppc.ca .gov I.,