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COVER PAGE <br />Recipient Committee Typ~or print in ink. Date Stamp <br />Campaign Statement <br /> <br /> I Statement cmjers period Date of election if applicable: <br /> · ~// /0-~) (Month, Day, Year) ~'EB 0 ~- 200~ <br /> For Official use Only <br /> <br /> CITY OF REDWO©D CITY <br /> __ CITY CLER~ <br /> <br />1. Type of Recipient Committee: A, Committees- Complete Parts 1, 2, 3, and 7. 2. Type of Statement: <br /> ,~' Officeholder, Candidate [] Primarily Formed Candidate/ [] Pre-election Statement [] Quarterly Statement <br /> ~,Controlled Committee Officeholder Committee ~¢~.Semi-annual Statement [] Special Odd-Year Report <br /> (A/so Comp~te Part 4.) (Also Complete Part 6.) [] Termination Statement [] Supplemental Pre-election <br /> [] Ballot Measure Committee [] General Purpose Committee [] Amendment (Explain below) Statement - Attach Form 495 <br /> (~) Primarily Formed (~ Sponsored <br /> (~) Controlled (~ Broad Based <br /> (~ Sponsored <br /> (Also Complete Part 5.) <br />3. Committee Information ,.o. NUMB~f ~ ~ ~[~ <br /> <br /> MAILING ADDRESS (IF DIFFERENT) NO. AN~fSTREET OR RO. BOX MAILING/~DDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODF-~PHONE <br /> <br /> OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS <br /> <br /> FPPC Form 460 (8/99) <br /> For Technical Assistance: 916/322-5660 <br /> State of California <br /> <br /> <br />