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J <br /> ER PAGE <br /> Recipie t Commitbee Type or print•k. e �mP � �. . <br /> camp�ign statement ECEIVE� •''� � ' � <br /> Cover Page <br /> (Govemment Code Sections 84200-84216.5) <br /> 8tatement covers period Uate of election if a licable: FEg p � 2011 P ge of�— <br /> (Month, Day,Ye r) For OtfiGel Use Onty <br /> from � �� � � � - <br /> n �'P(OF REDW�OD CITY <br /> SEE INSTRUCTIONS ON REVERSE through 'Z S( � �V C{TY CLERK <br /> 1. Type of Recipient Committee: All Committees—Complate Parls 1,x,s,and 4. 2. Type of Statement: <br /> ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quartery Statement <br /> Q State Candidate ElecNon Committee Committee [�Semi-annuat Statement � Special Odd-Year Report <br /> Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection <br /> (AhoCompktePart5) Q Sponsored (Aiso file a Form 410 Tenninatfon) Statement-Attach Form 495 <br /> (AlsoCompbtePaR6) � qmendment(Explain below) <br /> �General Purpose Committee <br /> Q Sponsored ❑ Primarily Fortned Candidate/ <br /> Q Smetl Contributor Committee Officehoide�Committee <br /> Q Polit(cal Parly/Central Committee (A�so Compfete Part 7) <br /> 3. Committee Information ���• NUMBER r ,Z ( ���� Treasurer(s) <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IP NO COMMITTEE) NAME OF TREASURER <br /> ���� �1{'�; �..ec�c�'� <br /> �✓,��(J12�S Q� ��.� Gi � ��� MAILING A�ORESS <br /> �_ �Z-� `� ��-f'�C%4- <br /> STREETADDRESS(NO P.O. BOX) CI STATE ZIP CODE AREA CODE/PHONE <br /> 2� �' D S:t-,-e.e,�r- ��-e� �::��� G��, c-,� �j N c�(r�3 (�Su -3G�3b2� <br /> CITY STATE ZIP CODE AREA CODEIPHONE NAME OF AS5ISTANT TR ASURER, i ANY <br /> !�� �� G� �'� ��Ie(�3 6�ti -3�9-7z�-�� G �„� ��.,�-Yl�� 5 ���-e, <br /> MA�G;DDRE���IFFER�� �.AND STREET OR P.O.BOX 3 3 oAOq'�e� ���^' � <br /> . C� i� T,�r. <br /> CITY STATE ZIP CODE AREA COOE/PHONE CITY ST ZIP CODE AREA CODElPHONE <br /> ���� � y�� - s l�,�z����t Gr�, � �0[�3 �sU -3�8- ��z�`� <br /> q TIONAI: FAX!E-MAIL ADDR S ' OPTIONAL: FAX I E-NIAIL AOD E&S <br /> r <br /> 4. Veri�cation <br /> I have used all reasonable diligence in preparing and reviewing this stetement and to the best of my knowlsdge the iniarmation contained herein and in the attached schedules is true and complete. I ceRify <br /> under penafty of perjury unde�the laws of the 5tate of Califomia that the foregoing is true and correct. <br /> Executed on � ( S b� Z� 1� 9y /� <br /> pep� SigrwturoofT surerorAasis iTreasuror <br /> Executedon � gy SlpnetureotG���9����r,Candidato,StatsMeasureProponantorReapor�sldeOlAcxotSponaor <br /> EXecuted on � By gj�elure of ConM011ing Olficehdder,Cendfqale,Stete Meesure Proponent <br /> Executed on Dale By Slg�etureofConlydN�gOIIlcnhdder,Candidate.5teteMeesureProponent ' <br /> - FPPC Form 460(January/06) <br /> FPPC Toll-Free Helpllne:8881ASK-FPPC(8861Z7Cr3772) <br /> State of Celifornia <br />