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AMENDMENT · .Amen d ment to ,ypa or print in ink Campaign Disclosure Statement ii filingofficerswhoreceivedthestatementbeingamended. NOTE: DonotusethisformtoamendaStatementofOrganization, FormlL ~I 199A 410, Candidate intention, Form S01, or a Campaign Bank Account, Form 502. Use the actual Form 410, 501 or 502, respectively, to ma~e I CITY OF REDWOOD CITY The information required in Part I must Correspond to the information provided on the ca mpaign statement being amended, i CITY CLERK I Name of Filer (Seeimportantinformationonreverse.) II Amendment Information NAME OF FILER / I.D. NUMBER A. The following informat)4q2n0amends campaign disclosure {IFAPPLICAaLE) statement, Form No. , Involvement Makes Political Action Coun~ 830435 MAILING ADDRESS OF FILER (NO. AND STREET) executedon ~-~'~"7~fortheperiod ~-1-93 through (MO, DAY, YR.) (MO, DAY, YR,) (MO, DAY, YR.) CiTY STATE ZIP CODE [~. The amended information affects items on the: Redwood City CA 94063 AREACODE/DAYTIME PHONE NUMBER [] Cover Page [] Allocation Page [] Summary Page ( [] Schedule(s) [] Part(s) NAME OF TREASURER IF RECIPIENT COMMITTEE C, Describe the changes below. Include in detail all information you wish to Lawrence Buokmaster becomea partofyourofficial campaign statement. Please attach a cover PEI~MANENT ADDRESS OF TREASURER: (IF APPLICABLE) (NO. AND STREET) page, summary page and/or appropriate schedule(s) to this Form 405 if necessary for clarification. Include additional information on appr:~pri- ately labeled continuation sheets. (Number of sheets attached . .) CIT,~ . STATE ZIPCODE Co1. A and Col. B, Lines 8, 10, & 12 were not Radwood'City CA 94063 added together for Col C Col C; Lines 8, AREA CODE/DAYTIME PHONE NUMBER ' ' ' ( 10, & 12 Should read $310.00. The remaining ~ part of the Summary Page is correct. ~ See attached.: III Verification (see imDortantinformationonreverse,~ I have used ail reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on At By DATE CITY AND STATE SIGNATURE OF TREASURER OR FILER Officeholder, candidate, state measure proponent, or sponsored committee responsible officer verification: 1 have used all reasonable diligence and to the best of my knowledge the treasurer has used all reasonable diligence in prepa ring this statement. I have reviewed the statement and to the best of my knowledge the informal on conta ned herein is true and corn plate. I certify under p~nalty of perjury under the laws of the State of California that the foregoing is true and correct. · A E CTt'Y AND STATE) SIGNATURE OF OFFICEHOLDER. CAND DATE. PROPONENT, OR RESPONDS aLE OF FiCER Executed on At By DATE - CITY AND STATE SrGNATURE OF OFFICEHOLDER, CANDIDATE. OR PROPONENT Executed on At By. DATE CITY AND STATE SIGNATURE OF OFFICEHOLDER, CANDIDATE, OR PROPONENT · FOR INFORMATION REOUIRED TO BE PROVIDED 10 YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977 SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS OF THE POLnicAL REFORM ACT. State of California Fair Political Practices Commission