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COVERPAGE <br /> ReCipient Commlttee Type or print in Ink. Smmp �. , � • ' <br /> campaignstatement EC�IVED •- <br /> Cover Page <br /> (Govemmant Code Sections 84200-84216.5) �AN 3 1 2012 P g'�— °} <br /> Statement covars period Date of eiection if a pticable: <br /> --7 (Monih, Day,Y ar) For Offidel Uae Ony <br /> from /��'� � r� C OF REDWOOD CITY <br /> SEE INSTRUCTIONS ON REVERSE through ��—�� �-`� ` / ��TY CLERK <br /> 7. rype of Recipient Committee: nnco�m...-comWsav.n.�,s,a,.nae. 2. Type of Statement: <br /> ❑ Otficeholder,Candidate CoMroNed Committee ❑ Pdmadly Formed Ballot Measure ❑ P election Statement ❑ �uaAerly Stetement <br /> � QStateCandidateEledionCommitlee Committee �mi-ennualStafement � SpecialOdd-YearReport <br /> Q Recell Q Conlrolled � Teimination Stetement � SupplemeMal Preekction <br /> (AleoCOmp'MePertS) Q Sponaored (Also file a Form 010 Tertninetion) StetemeM-Ariech Form 495 <br /> (AkoCOmpbtePertB) � q��ment(Explain below) <br /> _. C,eneral Purpoae CommNlee <br /> Q Sponsored � PnmedlyFormedCendidate! <br /> Q SmaA ContributorCommittee Officeholder Committee <br /> QPOIRicalParlylCantrelCommiltee (amcompsroaann <br /> 3. Commlttee Informatlon I.D. NUMBER � / (� Tf888UfB1�S) <br /> l0 CJ <br /> COMMITTEE NAME(OR CANDIDAlE'S NAME IF NO COMMITTEE) NAME OF 1REASURER <br /> dti'�GY�1- f�� �,�' L��(�t'� <br /> p � � MAILING ADORES6 <br /> ���l C ti1C�S o�� I�l,��� ��� ��-- Z� S_ -� S f'fP�-�� <br /> STREETADDRESS(NO P.O. BO%) C V STA7E ZIP CO E AREA OUE/PHONE <br /> z� s � sfi��- � w� �� ���� c,� �y�'3 �� ����-�� z� <br /> C V STATE ZIP C00 AREA gODE/PHONE AME OF ASSISTANf�R S ER, IP ANV �� <br /> ��lNi���� C�2'�I CA �I`���� (a5 G/�ln('o -��Z-� G w e � ��z S c-�,;� <br /> MAILING ADDRE85 pF DIFFE ENn N0.AND S7REET OR P.O. BOX MAILING AODRE <br /> �, v, � ux F�S"3 3 5 u f de vt Stree�� <br /> CITY ) STATE ZIP CODE �q AREA CODE/PHONE CITY ) STATE �7 Z��IP(CODE AREA CODE/PHONE (� <br /> ��AL: FAX/E�AAAIL AD�65 �/� ���—V�� ., O�IONAL:rA%(/E�IL ADDR� C r� -I !U�� �S�/���/���1� <br /> 4. Veriflcatio� <br /> I have used aN reasonable ditigence in preparing and reviewing this stetement and to the best of my knowledge the information contained herein end in the attached achedules ia true and complete. I certify <br /> underpenaltyofperyuryunderthelawsofiheStaleofCalifomiathattheforegoingistrueandcorted. / � <br /> Executetl on I U [/� 8y ���/- l�-�-��7i 17�9 <br /> ore 7`t' �lumaria.. aa.W.mmTm.ewo, <br /> ExeCUtBA on � BY SqnaWndCan¢dlkqORwalwkkr.CaM�mm.5tebMeuuePmW��orReeWmkbORaxrofspmwr . <br /> EXeCUkdon � BY SigneNeofCm4aAMi901Acahddor,Cenddale�SttlaMeaua mM <br /> Executedon ocro BY sgree,remCoreraureomcendaer.camae�e.smeb�eeeurePmponem <br /> PPPC Form C80(JanuaryN6) <br /> FPPC ToN-Free Helpline:88&ASK-FPPC(86812T61772j <br /> Shfa of Cdifomla <br />