g: If? hf? A Statement of Organization ORIGINAL COPY Date-?amp CALIFORNIA 41 0 Recipient Committee FORM .. Statement TYPE nitia a Amendment Termination -- See Part 5 For omega. Use Only No! yet quali?ed or ?St 1.0. number: List LD- number: #1390699 09 128 p42o16 1 1 Date quali?ed as committee Date quali?ed as committee Date of Termination (If applicable) NAME OF TREASURER CommIttee for Measure HH Christopher B. Carson ITREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA Chula Vista CA 91913 CITY STATE ZIP CODE AREA NAME OF ASSISTANT TREASURER, iF ANY National City CA 91950 STREET ADDRESS (NO 9.0. BOXI MAILING ADDRESS (IF DIFFERENT) FAX E-MAIL ADDRESS CITY STATE Zl? CODE AREA Committeefor. MeasureHH@gmail .com COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICERIS) San Diego San Diego County Anne Campbell STREET ADDRESS (N0 PO. BOX) STATE ZIP CODE AREA Attach additional information on appropriately labeled continuation sheets. . NatIonal Cit! CA 91915 have ?526 all reasonable diligence in preparing this statem penalty of perjury Unde the laws of the State of California? Executed on 9/24 7 ent and to the best of my knowledge the InformatIon contained herein is true and complete. certify under the foregoing is true and correct. .f SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE or CONTROLLING OFFICEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT Executed on By OATE SIGNATURE or CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT FPPC Form 410 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Statement of Organization CALIFORNIA 41 0 Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 2 MITTEE I.D.NUMBER omm?i?ee for Measure HH 1390699 - All committees must list the ?nancial institution where the campaign bank account is located. NAME or FINANCIAL INSTITUTION AREA BANK ACCOUNT NUMBER Union Bank (619)336-2000 ADDRESS reet ?(item-it; 5v National City CA 91950 - List the name of each controlling Officeholder, candidate, or state measure proponent. If candidate or Of?ceholder 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, Iist the name and identi?cation number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Nonpartisan Nonpartisan Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATEIS) OFFICE SOUGHT OR HELD OR MEASUREIS) JURISDICTION CANDIDATEISI NAME OR MEASUREIS) FULL TITLE (INCLUDE BALLOT NO. 0R LETTER) (INCLUDE DISTRICT NO., CITY 0R COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE Measure National School District, National City, San Diego County ICE [3 FPPC Form 410 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772)