HomeMy WebLinkAboutForm 410 - Amendment - Chou, Andrew - 2018.08.16rA
Statement of Organization
Recipient Committee r
Statement Typein
❑Initial 0 Amendment El Termination —See Part 5
Q Not yet qualified
or 08_/ 02 / 2018
Q Date qualified as committee
Date qualified as committee Date of termination
Date Stamp
'00VED ANb rli--.1
bf 160 of the Sear€tary of
at the State of California
MM aee:infp�mati n ; I.D. Number 1407610 2.1 Treasurer and,atheir Priv s
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NAME OF COMMITTEE NAME OF TREASURER
Andrew Chou for Diamond Bar City Council 2018 A- - 1-1—
STREET
,i
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE JURISDICTION WHERE CUMMII I EE IS ACI WE
Los Angeles ity of Diamond Bar
Attach additional information on appropriately labeled continuation sheets.
Fq Officia`ll Use Only c t
6 P!"1 2: 20
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STIREEEET ADDD,R^ESSS (NO P.O. BOX)
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CITY _ STATE ZIP CODE AREA CODE/PHONE
E OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
have used all reasonable diligence in preparing this statement and to the best of my knowledge the information coniy:r
ained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the fore oin ' true and correct.
Executed on 08/02/2018 By
DATE GNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on I By
DATE
Executed on By
DATE
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov