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Recipient Committee Typeorpdntlnink. COVERPAGE- LONG FOI~M <br />Campaign Statement -- Long Form Statementcoversperlod DateStamp <br />SEE INSTRUCTIONS ON REVERSE through 1 2- 3 '~ - 9/4 <br />Check one of the followlng boxes to indicate the type of statement belng filed: Date of electlon if appficabh <br />(Month, Day, Year) _ For Official Use Only <br />~ P~e-ele~ionStatement ~ Semi-annualStatement <br />~ S~cial Odd-year Cam paJgn Re~ CI~ OF REDWOOD Q~ <br />CIW OLERK <br />~ Supplemental Pre-ele~ion Statement (A~ach a completed Form 495 to this Statement) <br />~ Termination Statement (A~ach a completed Form ~15 to this statement.) <br />Primarily Formed Committee (See definition on reverse ) <br />I Committee~o~co~EEInformation II List names of officeholder(s) or candidate(s) for which <br />this committee is primarily formed. <br /> ~VO~V~m~ ~8~ PO~8~ ~o~ COu~ NAME OF ~NDIDATE(S) OR OFFtCEHOLDER(S) OFF~C~ SOUG~ OR HELD CHECK O~E <br /> 5UPPOR1 <br /> ADDRESS OF COMMI~E E (NO. AND STREW) I LO. NUMBER <br /> <br /> Redwood C~(y C& 940~ ( <br /> NAME OF TREASURER <br /> Law:ence Buc~mas[e~ <br /> <br /> Redwood City CA 9406~ ( <br /> (Check Boxes) See definitions and impoHant in formation on revene. <br /> Isthisasponsoredcommittee? .................. D Yes ~ No <br /> <br />Isthisabroadbasedpoliticalcommittee? ......... ~ Yes ~ No Attach additional information on appropriately labeled continuation sheets. <br />III Verification <br />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 <br />herein and in the attached schedules is true and complete. I ce~i~ u ~ under th~laws of the State of California the foregoing is true <br />andcorre~. ~ __ <br />/ ~ATE CITY AND STA~E ' S GNaT,RE OF TREASU~R <br />Executed on At By <br />DATE CiTY AND STATE 51GNATURE OF ~S~S~aLE OF~CER OF S~NSO~F ~U~O <br /> <br /> FOR NFORMATION REQOIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION pRACEICEE AC10~ 1977. SEE INFORMATION MA~bAt ON C~MPA~Ga D~SCtOSURE eeovrs~0NT OF THE POLITICAL R~FORM ACT. <br /> <br /> State of California Fair Poli~lca! Practices Commission <br /> <br /> <br />