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Executed on By ElATE t/ SIGNAT By DATE OF TREASURER OR ASSISTANT TREASURER SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE DR STATE MEASURE PROPONENT FPPC Form 410 fJan/2016 FPPC Advice advice fppc.ca.gov 866/275-3772 www. Net COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Mann 415 892-6812 NAME OF PRINCIPAL OFFICER S aeic e MaAL PPC ae f Attach additional infot mation on appropriately labele con uation sheets. O. BOX 1 Tenaya Lane CITY 36 White Oak Way Novato STATE ZIP CODE 415...
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i initial stands for Initial Report, which is a document filed to provide basic information about a business entity.
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