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
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❑ Temtinatian — See Part 5
RECEIVED
U.!t! Of 1r tlnlm_6c'n By
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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_
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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)
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