HomeMy WebLinkAboutShoresman - Form 410 - 2023-01-30_Amendment No. 2_RedactedStatement of Organization
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Statement Type O Initial Amendment O Termination -See Part RECEIVED
Date Stamp
O Not ye~~ualified 11 JAN 3 O 2023
O Date qualification threshold met Date qualification threshold met Date of termination
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NAME OF COMM ITTEE NAME OF TREASURER Vo~ e µ i ci--t -e.A \-e S6 ·( -e<l W\.0-V'\
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STREET ADDRESS (NO P.O . BOX)
CITY STATE
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CITY STATE AREA COD E/PHO NE NAME Of ASSISTANT TREASURER, IF ANY
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STREET ADDRESS (NO P.O BOX)
CITY STATE
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COU NTY OF DOMICILE
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Attach additional information on appropriately labeled continuation sheets.
CALIFORNIA 41 0
FORM
For Official Use Only
ZIP CODE AREA CODE/PHONE
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ZIP CODE AREA CO DE/PHONE
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~st of my knowledge the information contained herein is true and complete.
DATE
Executed on
DATE
Executed on I l :?2!:l I z;J., t I DATE
Executed on
DATE
By
By
By
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
TE, OR STATE MEASURE PROPONENT
SIGNATURE Of CONTROLLING OFF ICEHOLDER , CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
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