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Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from (�� l 2 � �v through �'�3°�2 0 )U �. Type of Recipient Committee: All Committees–Complete Parts 1,2,3,and 4. ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure � State Candidate Election Committee Committee Q Recall Q Controlled (A/so Comp/efe Part 5) Q Sponsored (A/so Complete Part 6) General Purpose Committee 0 Sponsored � Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (A/so Complete Part 7) 3. Committee Information I I.D. NUMBER j Z 6 6 b t� Q U COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) �i�i e v�d s o� �e.o�t,,roa� C-+=� �A c, STREET ADDRESS (NO P.O.BOX) ��5^ � 5-j-re e.-� CITY STATE ZIP CODE AREA CODE/PHONE �.d w o�d G' c.� 9yoCo 3 ��v-3 �-3�2� MAILING ADDRESS (IF DIFFE ENT) N0.AND STREET OR P.O.BOX I�.d� �ox 853 CITY STATE ZIP CODE AREA CODE/PHONE �ed w�l ��-�-t CA 9�10(oy --0 8 5 3 OPTIONAL: FAX/E-MAIL ADD ESS Date of election if appt (Month, Day,Year) 2. Type of Statement: Date Stamp , � � � o � � �� A U G 4 2 2 010 � Page OF REDWOOD CITY CITY CLERK COVER PAGE of�— For Official Use Only ❑ reelection Statement � Quarterly Statement �emi-annual Statement ❑ Special Odd-Year Report ❑ Termination Statement ❑ Supplemental Preefection (Also file a Form 410 Termination) Statement-Attach Form 495 ❑ Amendment(Explain below) Treasurer(s) NAME OF TREASURER �,a�- �- Iit�e�,,� �L e dd<.f MAILING ADDRESS Z� S� � S�-�e�i� CITY STATE ZIP CODE AREA CODE/PHONE �-2d w a��l G`-� c� 9��3 (�S� -3�0 6�l�Z� NAME OF ASSISTANT TREASURER, tF ANY �, we.�,,-��Q s�a �e. MAILING ADDRES 33v � lole� ��-✓�pe� CITY STATE ZIP CODE AREA CODE/PHONE Q-ea� woo� �� C,Q � a(o 3 Co�0 -3(� �-�2�� � y OPTIONAL: FAX/E-MAIL ADDRE S 4. Verification I have used atl reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. . . /� Executed on �/��/ 2 4 C U Date Executed on Date Executed on Date Executed on Date By Treasurer By Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor By Signature ofControllingOfficeholder,Candidate,State Measure Proponent By Signature of Controlling Oificeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California