1' Statement of Organization Date Stamp Recipient Committee S. D. CD. Re Statement Type Initial Amendment Termination See Part 5 0mm? Use Notyetqualmed 0, List ID. number: List ID. number: 1374229 it ii I I 12 I19 [2014 I I Date quali?ed as committee Date quali?ed as committee Date of Termination llfapplicable] 1. committee Informatipn 7- . - I . I Tit-Easurer andIOthe?rr Pjrjii?ijcipai Of?cers -. 3T 5 -- NAME OF COMMITTEE NAME OF TREASURER Anderson for Supervisor 2016 William Baber ZIP CODE AREA STATE ZIP CODE La Mesa CA 91942 - La Mesa CA 91942 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS DIFFERENT) STREET ADDRESS (NO P.O. BOX) EMAIL ADDRESS COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE San Diego CITY STATE ZIP CODE AREA NAME OF PRINCIPAL . . . . no. sex) Attach addrhonal Information on appropnately labeled continuation sheets. CITY STATE ZIP CODE AREA A-?k all reaSonabie diligence in preparing this statement and to the best of my knowledge the information. Containedherein is true and cOmpIete. certify Under I penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executedon 02/03/2015 By - - a A DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on 02/03/2015 By DATE sreNnrtiFE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE 7 SIGNATURE OF CONTROLLING OFFICEHDLDER, 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) Statement of Organization CALIFORNIA 0 Recipient Committee FORM INSTRUCTIONS ON REVERSE Pagez Anderson for Supervisor 2016 1374229 - All committees must list the ?nancial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA BANK ACCOUNT NUMBER Union Bank of California (619)667-3000 ADDRESS CITY STATE ZIP CODE 3285 Lemon Grove Avenue Lemon Grove CA 91945 4. Tylpeiof Committee Completethe applicable sections. - 3 Controlled Committee - List the name of each controlling Of?ceholder, candidate, or state measure proponent. If candidate or Officeholder controlled, also list the elective of?ce sought or held, and district number, if any, and the year of the election. 0 List the political party with which each Of?ceholder or candidate is af?liated or check "nonpartisan." - If this committee acts jointly with another controlled committee, list the name and identi?cation number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF MEASURE PROPONENT (INCLUDE DISTRICT n: YEAR OF ELECTION PARTY Nonpartisan Joel Anderson San Diego County Supervisor - District 2 2016 Nonpartisan Primarily Formed Committee Primarily formed to support or oppose speci?c candidates or measures in a single election. List below: CANDIDATEIS) OFFICE SOUGHT OR HELD OR MEASUREISI IURISDICTION CANDIDATEIS) NAME OR MEASUREIS) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) (INCLUDE DISTRICT NO CITY 0R COUNTY As APPLICABLE) CHECK ONE SUPPORT OPPOSE FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772)