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or <br /> Statement of Organization Date Stamp CALIFORNIA 41 0 <br /> Recipient Committee ` FORM <br /> Statement Type J Initial ] Amendment 0 Termination—See Part 5 AUGor Official Use Only <br /> Not yet qualified I1 30 <br /> 2018 <br /> Of Cl1Y Ot —i6➢O ri hz <br /> 0 Date qualified as committee O R / 7 7 / 7 n 1 8 �_/ Y )(:' <br /> Date qualified as committee Date of termination pity Clerk l p l tm,'nt <br /> /— <br /> 1. Committee Information 11.D. Number I 2. Treasurer and Other Principal Officers <br /> (if applicable) 1408345 <br /> NAME OF COMMITTEE NAME OF TREASURER <br /> Yolanda Miranda <br /> Gabriel DeLuna for Chino Hills City Council 2018 <br /> NAME OF ASSISTANT TREASURER,IF ANY <br /> STREET ADDRESS(NO P.O.BOX) <br /> N/A <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> DICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) <br /> Los Angeles <br /> STREET ADDRESS(NO P.O.BOX) <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Attach additional information on appropriately labeled continuation sheets. <br /> 3. Verification <br /> I have used all reasonable diligence in prepari ntained herein is true and complete. I certify under <br /> penalty of perjury under the laws of the State <br /> Executed on 0 8/2 7/2 01 8 By <br /> h8/27tA.E018 <br /> Executed on By <br /> DATE <br /> PROPONENT <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> FPPC Form 410(February/2018) <br /> FPPC Advice:advice@fppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br />