Poway Democratic Club 410 Amendment 03/24/2023Statement of Organization
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MAR 2 4 2023
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CITY OF POWAY
CITY CLERKIS OFFICE
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NAME OF COMMIriEE
NAME OF rRGSURER
Poway Democratic Club
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Zm CODE AREACIODUPHORE
Poway
CA
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NAME OF ASSURNANCTIREASILDIDER, IF ANY
Poway CA 92064
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oway, CA 92074
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Poway
CA
92064
CDummoomiaLE 1 LRISDICTIGN MEN COMMnrEE 1E REVIVE
NAM E OF FRINEIPA OFNCERISI
San Diego City of Poway
Amit Asaravala
STREET ADDRESS 00 W. BOX]
Attach additional information on appropriately labeled continuation sheets.
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zIP LICE AREA CODE/PAVINE
Poway
CA
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I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury, under the laws of the State of Califor Tia that the foregoing is true and correct.
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NA! SIGNNUM OFCONAOWpG OFNCEHOLOER CANGOAIE, OR EVER MEASURE PROPONENT
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DATE SIGNMURE OF CONTROULUB 1CFFptOER, GNOIDRTR OR STAE MEr3URE PROIONENT
Executed On By
UAE EIGNAURE OF CONTROWNG OFRIDEXDIVER,CANDIDATE, OR AAFE MEASURE PROPONENT
FPPCForm410(August/2018)
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