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SHORTFORM <br /> Recipient Committee Dat REe�fV ' � <br /> _ Campaign Statement— Short Form . - <br /> SEE INSTRUCTIONS ON REVERSE <br /> Statement covers period Date of election if applicable: page � of 3 <br /> (Month, Day,Year) JAN 21 20 <br /> For use by recipient committees that have not received a from 7�1/2015 For ofli ai use oniy <br /> contribution or other receipt that must be itemized,have not <br /> received or made loans,and have no outstanding accrued 12/31/2015 �nY of Redwood iry <br /> expenses. through <br /> Ciry Cle <br /> 1. Type of Recipient Committee: 2. Type of Statement: <br /> ❑ Ballot Measure Committee � General Purpose Committee ❑ Pre-election Statement ❑ Quarterly Statement <br /> Q Primarily Formed Q Sponsored � Semi-annual Statement ❑ Special Odd-year Report <br /> Q Controlled Q Small Contributor Committee ❑ Termination Statement <br /> Q Sponsored <br /> � Primarily Formed Candidate/ ❑ Amendment(Explain) <br /> Officeholder Committee (Also check type of statement you are amending) <br /> 3. Committee Information ��D.NUMBER Treasurer(s) <br /> 1266668 <br /> COMMITTEE NAME NAME OF TREASURER <br /> Friends of Redwood City PAC Matthew Leddy <br /> MAILING ADDRESS <br /> 275 D Street <br /> STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> 275 D Street Redwood City CA 94063 650/366-3620 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY <br /> Redwood City CA 94063 650/366-3620 Gwenythe Scove <br /> MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS <br /> 330 Alden Street <br /> CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94063 650/368-9284 <br /> OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS <br /> 4.Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify <br /> under penalty of perjury under the laws of the State of California that the foregoing i true and corr ct. <br /> Executed on 1/15/2016 By <br /> DATE SIGNATURE F TREASURER OR ASSISTANT TREASURER <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT,OR RESPONSIBLE OFFICER OF SPONSOR <br /> Executed on By <br /> DATE SIGNATURE OF CONTRO�LING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT <br /> Executed on By <br /> DATE SIGNATURE OF CONTROILING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT <br /> FPPC Form 450(Jan/2016) <br /> FPPC Advice:advice@fppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br />