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Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />Type or print in ink. <br />Statement covers period <br />from 07-01-06 <br />through 12-31-06 <br />N/A <br />Date Stamp <br />COVER PAGE <br />Page 1 of <br />For Official Use Only <br />1. Type of Recipient Committee: All committees -complete Parts ~, z, s, ana a. 2. Type of Statement: <br />® Officeholder, Candidate Controlled Committee ^ Primarily Formed Ballot Measure ^ Preelection Statement ^ Quarterly Statement <br />Q State Candidate Election Committee Committee ~ Semi-annual Statement ^ Special Odd-Year Report <br />Q Recall ~ Controlled ~ Termination Statement ^ Supplemental Preelection <br />(also complete Part 5) ~ Q Sponsored (Also file a Form 410 Termination) Statement -Attach Form 495 <br /> <br />^ General Purpose Committee (also Complete Part 6) ^ Amendment (Explain below) <br />~ Sponsored ^ Primarily Formed Candidate/ <br />Q Small Contributor Committee Officeholder Committee <br />~ Political Party/Central Committee (AlsoComplefePart7) <br />3. Committee Information I.D. NUMBER <br />940672 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Re-elect Jim Hartnett <br />STREET ADDRESS (NO P.O. BOX) <br />777 Marshall Street <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Redwood City, CA 94063 (650) 568-2820 <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Treasurer(s) <br />NAME OF TREASURER <br />Dennis Royer <br />MAILING ADDRESS <br />1047 Whipple Avenue <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Redwood City, CA 94062 (650) 365-1800 <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX ! E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS <br />Fax: (650) 568-2823 <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information cont ned here) and in the attached schedules is true and complete. I certify <br />under penalty of perjury under the laws of the State of California that the foregoing is true and cor <br />~(-i~-o <br />Executed on ~ BY <br />~ Date ~gnalure of Treasurer or Assistant Treasu r <br />Executed On ey Si nature of ontr in h der, Candidate, State Measure Proponent or Responsible Officer of Sponsor <br />Date 9 <br />Executed on BY <br />pate Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />Executed on BY <br />Date Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (January105) <br />FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) <br />State of California <br />Date of election if applicable: <br />(Month, Day, Year) <br />