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. COVER PAGE - LONG FORM Officeholder, Candidate s~.,,o., coYe,-~ pe,-',,~ Date Stamp and Controlled Committee Campaign Statement- Long Form ,.,. 07/01/96~. ~'~"' (Govemment Code Sections 84200 - 84216.5) through 12/31/96 [~ ~ ~L_C.: __ of 6 [] Pre-election Statement Date of Election For Official Use Only []Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.) ffapplicable.- ~!llJAN I 1997 [] Special Odd-Year Campaign Report (Month, Day, Year) 1~]~.i~ " [] Semi-annual Statement I I CiT',' CF ~,~EDT~"OD C:TY. [] Termination Statement (Attach a completed Form 415 to this statement.) ~ I ¢~TY C.L~RK I Officeholder, Candidate, and Controlled Committee II Other Committees Not Included in this Statement: Included in this Statement List any other committees not included in this consolidated statement that are controlled NAME OF OFFICHOI.DER OR CANDIDATE: by you and any committees of which you have knowledge that are primarily formed to Matt Leipzig receive contributions or to make expenditures on behalf of your candidacy. OFFICE SOUGHT OR HELD: (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) COMMITTEE NAME: I,D, NUMBER Redwood City Council RESIDENTIAL OR BUSINESS ADDRESS: (NO. AND STREET) 580 E1 Camino Real NAME OF TREASURER: CONTRfX.LEDCOMMI~'rEE? CITY STATE ZIP COOE AREA CODE/DAYTIME PHONE [] YES [] NO San Carlos CA 94070 (415) 593-5888 COMMITTEE ADDRESS: (NO. ANDSTREET) COMMITTEE NAME: ~ I.D. NUMBER Friends of Matt Leipzig I CITY STATE ZIPCODE AREA CODE/DAYTIME PHONE 951036 COMMI'I-rEE ADDRESS: (NO. AND STREET) COMMI~'I'EE NAME: ~ I.D. NUMBER 580 E1 Camino Real I CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE San Carlos CA 94070 (415) 562-3565 NAME OF TREASURER: CONTROLLEDCOMMrFrEE? NAME OF TREASURER: [] YES [] "O Larry Aikins COMMI~'EE ADDRESS: (NO. AND STREET) PERMANENT ADDRESS OF TREASURER: (NO, AND STREET) 926 Woodside Road crrY STATE ZIPCODE AREA CODE/DAYTIME PRONE CITY STATE ZiP COOE AREA CODE/DAY'nME PHONE Redwood City CA 94061 (415) 369-7331 III Verification I have used all reasonable diligence in preparing this statement. I have reviewed thc statement and to the best of my knowledge the information contained herein and in the attached schedules is tme and complete. I certify under pen~ury ugder the laws of the State of California that the foregoing is true and correct. Executedon 01/31/97 At Redwood City, CA DATE CITY AND STATE '~\'~ .... SIGNATURE OF TREASURER ! have used all reasonable diligence and to the best of my knowledge the treasurer has used all rea~ionable diligence in p~aring ~ state,,~t. ! have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and compl~.[~c.~i1'y u.dg,~mdury under the laws of the State of CaliCos.ia that the ore§oing is and co ec,. Executedon 01/31/97 At San Carlos, CA By Executed on At By · DATE crr~ AND STATE SIGNATURE OF CAND~AT-~OFFICEHO[DER Executed on At By DATE CITY AND STATE SIGNATURE OF CANDIDATE/OF~CEHOLDER S/CCW - PCAP02970457 (Rev. 3/94) State of California ~air Political Practices Commission.