Form 410 Amendment Treasurer statement of Organization Date Stamp • . ,
teci Tent Committee
CITY OF ENCiNI •
tatement Type ❑Initial ❑ Amendment C I T Y G I-E R r'; For Official Use Only
❑ Termination—See Part 5
Not yet qualified ❑ or List I.D.number- List I.D.number
# 136750 # 1367501 �� 4 OCT Z3 Pik
06 /19 f2014
Date qualified as committee Date qualified as committee Date of Termination
(If applicable)
. Committee information ' 2. Treasurer and Other Prilncipal Officers
NAME OF COMMITTEE NAME OF TREASURER
Julie Graboi for Council Julie Graboi
STREET ADDRESS(NO P.O.BOX) STREET ADDRESS(NO P.O.BOX)
STATE ZIP CODE AREA CODE/PHONE
Encinitas CA 92024 (760)436-7818 Encinitas CA 92024 (760)436-7818
MAILING ADDRESS(IF DIFFERENT) NAME OF ASSISTANT TREASURER,IF ANY
STREET ADDRESS(NO P.O.BOX)
uliegraboi4council @gmail.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE ZIP CODE AREA CODE/PHONE
San Dlego Encinitas
NAME OF PRINCIPAL OFFICERS)
Julie Graboi
Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS(NO P.O.BOX)[
CITY STATE ZIP CODE AREA CODE/PHONE
Encinitas CA 92024 (760)436-7818
t. Verification
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. I certify under
penalty of p�= Z4 under the laws of the State of Ca'fornia th th foregoing is true and correct.
Executed on _? � By
DATE —�— SIGNATURE OF TREASURER OR ASS]STANT TREASU RE
Executed on 2 By
DA11E SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
FPPC Form 410(Dec/2012)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov