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Recipient Committee ?¥peorprlntlnink. COVER PAGE ~ LONG FORM <br />Campaign Statement -- Long Form Statement¢oversperiodDateStamp <br />~EE IN~TRU~iON' ON REVERE thr°ugh ~( ~ <br />For Official U~ <br />D S~cialOdd-yearCampaignRe~ J CITY OF REDWOOD CI ' <br />~ Supplemental Pre~le~ion Statemekt (A~ach a corn plated Form 495 to this Statement.) <br />~ Termination Statement ~ch a completed Form 415 to this.atement.) ..... CITY CLER~ <br />I Committee Information II ~[imarily Formed Committee (See definition on reverse.) <br />.*ME OF CO~EE L. ist names of officeholder(s) or candidate(s) for which <br />CO~ this committee is primarily formed. <br />(Check Boxes) See definitions~and ~mponant info~ation on ~ve~e. <br />Isthis a sponsor~ commi~ee? .................. ~ Ye~ ~ No <br />Is~is a broad bas~ political (ommi~ee? ......... ~ Ye~ ~ No Attach additional information on appropriately labeled continuation shee~. <br />III Verification <br />I have used all reasonable diliben~e in preparlng this statement. I have reviewed the statement and to the best of my knowledge the informatlon contained <br />herein and in the a~ached ~hedules is true and complete. I ce~i~ under penalty of pedury under the laws of the State of California that the foregoing is true <br />and corre~. ' <br />Ex~cute~ on At <br /> <br /> <br />