Poway Democratic Club 410 Amendment I.D. 03/27/2023Statement of Organization
one Halm7APR
_
Recipient Committee
REC
.VVIrD AND =!LED
nice of the Secretary of state
the State of California
9 M
Statement Type
❑ initial
®Amendmen
1
❑ Terminagon —See Part
Q Not yet qualified
ITi'.a54fdY J6�
or
A53tTmWiner50"
11127 2523
07 2023
Q Date qualffication threshold met
Date qualification threshold ;met
Data of termination
TY-OF POWAY:
-��_I
LD. Number 1445238
2. Treasurer and
Other Principal Officers
NAME 04 COMMITTEE
rypMF Of TREASURER
Poway Democratic Club
Delta Pspam
STREET AGENCIES (NG P.G. BOX)
STREET ADDRESS (NO P.O. l0X1
OTY
STATE
EIPLOOE ppEp LODE/PfpNE
Poway
CA
92064
OTY STATE APLODE AMAObExHONE
NAME OF ASSISTAmTRFASURER, IF ANY
Poway CA 92064
Jana Johnson
MAILINGFULL ADDRESS IH DIFFERENT
STREET ADDRESS (NO P.O. BOX)
oway, CA 92074
EI BS@EGU IREDI/FAX (OPTIDNUI
aw
STATE
31PCODE ARLEAkIOUDEAPHONK
Poway
CA
92064
COUNTY OFDUM,aIt
ARISDICLON WHERE COMMITTEE USACFNE
NAME OF PRINCIPAL DFFICERIB)
San Diego
City of Poway
Amit Asaravala
STREET ADDRESS (NO R.O. BOX;
Attach additionalinformatfon on appropriately labeled continuation sheets.
CITY STATEIP
AREA mouvxaxE
Poo
Poway
CA
CA
9206
92064
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the
penalty of perjury under the laws of the State of California that the foregone is true and correct.
Executed an 3jiI 202..'S By
DATE 5laNA�OrTAtASURCROR�SISI
nerem Is true and complete. I canary under
Executedon By
DATE SIGNATURE OFColrtpewNG OFFICEHOLDER. cryDIDATIC OR STAR MEASURE PROPONENT
Executed on By
DATE SIONATUFFECIFOGAILROULING OFFLCEHFOUDEF,CANI OR STATE MEASURT PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIOME, OR STATE ALI PROPONENT
FINK Form 410(August/gong)
FPPC Adufre: advice@fooc.ca.eov (866/2753772)
uvwvifooacakov