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COVER PAGE - LONG FORM <br />Officeholder, Candidate s~,~-~,t covers pe,~,o~ Date Stamp <br />and Controlled Committee <br />Campaign Statement- Long Form 01/01/96 <br /> <br />(Government Code Sections 84200 - 84216.5) through 06/30/96 ~ ~ ~ __ ol6 <br /> [] Pre-election Statement Date JUL 3 1 Icjg6 For Official Use Only <br /> [] Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.) if applicable: <br /> [] Special Odd-Year Campaign Report (Month, Day, Year) <br /> <br /> [] Semi-annual Statement ... OF REDWOOD CiTY <br /> [] Termination Statement (Attach a completed Form 415 to this statement.) CITY CLERK <br /> <br />I Officeholder, Candidate, and Controlled Committee II Other Committees Not Included in this Statement: <br /> Included in this Statement List any other committees not included in this consolidated statement that are controlled <br /> NAME OF OFFICHOLDER OR CANDIDATE: by you and any committees of which you have knowledge that are primarily formed to <br /> Mat t T,e ipz :i. g receive contributions or to make expenditures on behalf of your candidacy. <br /> <br /> OFFICE SOUGHT OR HELD: (INCLUDE LOCATION AND DISTRICT NUMBER IF APPUCABLE) <br /> COMMrrrEE NAME: I.D. NUMBER <br /> <br /> RESIDENTIAL OR BUSINESS ADDRESS: (NO. AND STREET) <br /> <br /> 5 8 0 E1 Camino Real NAME OFTREASURER: CONTROLLED COMMITTEE? <br /> CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE [] YES [] NO <br /> San Carlos CA 94070 (415) 593-5888 COMMITrEEADDRESS: (NO. ANDSTREET) <br /> <br /> COMMITTEE NAME: I.D. NUMBER <br /> Friends of Matt Leipzig 951036 CITY STATE ZIPCODE AREACODE/DAYTIMEPHONt: <br /> <br /> COMMI'I-rEE ADDRESS: (NO. AND STREET) COMMITTEE NAME: I I.D. NUMBER <br /> 580 E1 Camino Real <br /> I <br /> CITY STATE ZIP CODE AREA CODE/DAYI1ME PHONE <br /> <br /> San Carlos CA 94070 (415) 562-3565 NAMEOFTREASURER: CONTROLLEDCOMMn-rEE? <br /> <br /> NAMEOFTREASURER: [] YES [] .O <br /> Larry Aikins COMMITTEE ADDRESS: (NO. AND STREET) <br /> <br /> PERMANENT ADDRESS OF TREASURER: (NO. AND STREET) <br /> 926 Woodside Road C,TY STATE ZIPCODE AREACODE/DAYTIMEPHONI= <br /> <br /> CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE <br /> Redwood City CA 94061 (415)369-7331 <br /> <br />Ill Verification I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein <br /> and in the attached schedules is tree and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is tree and correct. <br /> <br /> Executed on At By <br /> DATE CITY AND STATE SIGNATURE OF TREASURER <br /> I have used all reasonable diligence and to the best of my knowledge the treasurer has used all reasonable diligence in preparing this statg~nt. I have reviewed the statement and <br /> to the best of my knowledge the information contained herein and in the attached schedules is tree and~coml~te. I ce]Jify under pen~,6f perjury under the laws of the State of <br /> California that the foregoing is true and ct~rect. , ~-"/~,-/// <br /> <br /> DATE CITY STATE -- ' SIGNATURE DIO, OFF ER <br /> Executed on At By <br /> DATE CITY AND STATE SIGNATURE OF CANDIDATE/OFFICEHOLDER <br /> <br /> Executed on At By <br /> DATE CITY AND STATE SIGNATURE OF CANDIDATE/OFFICEHOLDER <br /> <br /> S/CCW - PCAP02970457 (Rev. 3/94) State of California Fair Political Practices Commission. <br /> <br /> <br />