HomeMy WebLinkAboutTerri Aulman - Form 410 - 2012 AmendmentStatement of Organization
Recipient Committee Type or print inink c Date Stamp
Statement Type "[P VA
❑ Initial ® Amendment ❑ Termination -See Part 5 ;-
Not yet qualified ❑ or List I.D. number: List]. D. number
1348250 #
-J 0 1 29 1 12 11
Date qualified as committee Date qualified as committee Date of Termination
(It applicable)
1. Committee Information
NAME OF COMMITTEE
TERRI AULMAN FOR GILROY CITY COUNCIL 2012
STREET ADDRESS (NO P.O. BOX)
1512 BIANCA WAY
CITY STATE ZIP CODE AREA COD &PHONE
GILROY CA 95020 408 - 391 -6268
MAILING ADDRESS (IF DIFFERENT)
777 FIRST STREET PMB #200 GILROY, CA 95020
OPTIONAL: FAX /E -MAIL ADDRESS
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
SANTA CLARA
Attach additional information on appropriately labeled continuation sheets.
2. Treasurer and Other Principal Officers
NAME OF TREASURER
STATEMENT OF ORGANIZATION
STREETADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE
AREA CODE,PHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.C. BOX)
CITY
STATE ZIP CODE
AREACODE %PHONE
NAME OF PRINCIPAL OFFICER(S)
STREETADDRESS (NO PO. BOX)
CITY
STATE ZIP CODE
AREA CODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of y knowlelge the information contained herein is true and complete. I certify under penalty of
perjury under the laws/ of the
/7State
w/ of California that the foregoing is true and corre {�]/ /� �/^Ll�yj
Executed on j��/ tL/ / /^- By Twr� /q. I ✓�1"
Ike' I!'. •!I SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on fo 1� "`� BY `f,- ,,_,•�Cr' i
n aM- -7"",-. -----
Executed on 8y
DAI SIGNAI "URE OF CONTROLLING
OFFiCEHOLL'ER.. CANDIDATE, OR STATE MEASURE pROPON[N7"
Executed on By
CA! .= SIGNATURE OF - NTROLLINGO ;ICEHOLDER CANDI D A $ IA T t M ASU O ON EN
FPPC Form 410 (Apr1112011)
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