Statement of Organization Recipient Committee ORIGINAL COPY :39 RECEIVED AND FILED 33M in the office of the Secretary of State . of the State of California SEP 16 2016 Date Stamp CALIFORNIA FORM 410 Statement Type Initial Amendment Termination - See Part 5 Fora?d? Use Only Notyetqua??ed or List ID. number. List ID. number: 1368784 08 ,19 ,2016 I Date quali?ed as committee NAME OF COMMITTEE Yes on Measure for Cajon Valley?s Schools Date quali?ed as committee [If applicabll] Date of Termination 32:. NAME OF TREASURER Steven Devan P.0X STATE ll? CODE AREA CITY STATE ZIF CODE NAME OF ASSISTANT TREASURER, IF ANY Ramona CA 92065 Scott Buxbaum MAILING ADDRESS (Ir- DIFFERENTI- ADDRESS 10-30?) FAX ADDRESS STATE ZIP CODE AREA CDDEIFHONE Ei Cajon CA CGUNTYOF DOMICILE JURISDICTION WHERE COMMITTEE l5 ACTIVE NAME OF PRINCIPALOFFICERISI San Diego David Miyashiro . STATE ZIP CODE AREA Attach additionai information an appropriately labeled contm uatTon sheets. CA Encinitas I have used all reasor. 92024 dge the inonrati contained herein is true and complete. I certify under the foregoing is true and correct. Executed 09/12/2016 By DATE SIGNATURE or TREASURER on TREASURER Executed on 5V SIGNATURE or CONTROLUNG CANDIDATE. 0R STATE MEASURE PROPONENT Executed on By or CONTROLLING DFFICEHOLDER. CANDIDATE. OR MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING CANDIDATE on STATE MEASURE PROPOMENT FPPC Form 410 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (856/215-3772) .. Statement of Organization CALIFORNIA 41 0 Recipient Committee FORM INSTRUCTIONS ON REVERSE Page1368784 - All committees must list the ?nancial institution where the campaign bank account is Ioated. NAME OF FINANCIAL INSTITUTION AREA CODEIPHONE HANK ACCOUNT NUMBER ADDRESS CITV STATE ZIP CODE . - 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 ofthe election. 'st the political party with which each Of?ceholder or candidate is af?liated or check ?non pa rtisan." - If this committee acts jointly with another Controlled Committee, list the name 'and identifit'atibn number'of'the'oth?r? controlled committee. OFFICE 50 UGHT OR HELD NAME OF MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Nonpartisan El Nonpartisan Primarily Formed Committee Primarily formed to support or oppose speci?c candidates or measures in a single election. List below: CANDIDATE 5 OFFICE SOUGHT on HELD OR MEASURE JURISDICTION CANDIDATEIS) NAME OR FULLTITLE (INCLUDE BALLOT-N0. 0R LETTER) (INCLUDE DISTRICT no. cmoncourm'. AS APPLICABLE) Eamon; SUPPORT OPPOSE Measure EE - Cajon Valley's Schools Cajon Valley Union School District - San Diego County SUFPOIT OPPOSE FPPC Form 410 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275?3772)