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, �, _�., SHORT FORM <br /> Recipient Committee ����$�,,�� , , , � 1 <br /> Campaign Statement— Short Form . <br /> � SEE INSTRUCTIONS ON REVERSE <br /> Statement covers period Date of election if applicab : ��I L � � 2��s page � of 2 <br /> For use by recipient committees that have not received a 01/01/2016 (Month,Day,Year) <br /> contribution or other receipt that must be itemized,have not from Fo Offieial Use Only <br /> received or made loans,and have no outstanding accrued City o��edlu�cd Git� <br /> expenses. through 06/30/2016 City Cd•vric <br /> 1. Type of Recipient Committee: 2. Type of Statement: <br /> ❑ Ballot Measure Committee � General Purpose Committee ❑ Pre-election Statement ❑ Quarterly Statement <br /> Q Primarity Formed Q Sponsored � Semi-annual Statement ❑ Special Odd-year Report <br /> Q Controlled Q Small Contributor Committee <br /> ❑ 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 I.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 /> MAILINGADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS <br /> 330 Alden Street <br /> CITY STATE ZIP CODE AREA CODE/PHONE C17Y STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94063 (650)368-9284 <br /> OPTIONAI: 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 penalry of perjury under the laws of the State of California that the foregoin is true and correct. � <br /> Executed on 07/06/2016 BY <br /> DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PRpPONENT,OR RESPONSIBLE OFFICER OF SPONSOR <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLL�NG OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT <br /> FPPC Form 450(Jan/2016) <br /> fPPC Advice:advice@fppc.ca.gov(866/2753772) <br /> www.fppc.ca.gov <br />