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· COVER PAGE <br />-- ''--I~eclplent Committee Ty~ or print in ink, Date Stamp <br />Campaign Statement <br />(Government Ccde Sections 84200-84216.5) <br /> <br /> Statement covers period Date of election if applicable: <br /> from I I ~/~ ' (Month, Day, ear) JUL 2 ~ ZO0~ ForOBicial Use Only <br />SEEINSTRUCTIONS ON REVERSE through ~'~ I '~° /0' ~/~' CiTYOF REDWOODCITYciTY CLERK <br /> <br />1. Type of Recipient Committee: All Committees- Complete Parts 1, 2, 3, and 7. 2. Type of Statement: <br /> "~Officeholder, Candidate [] Pdmadly Formed Candidate/ [] Pre-election Statement [] Quarterly Statement <br /> Controlled Committee Officeholder Committee v'~.Semi-annual Statement [] Special Odd-Year Report <br /> (Aisc Complete Part4.) (Also Complete Part6.) [] Termination Statement [] Supplemental Pre-election <br /> [] Ballot Measure Committee [] General Purpose Committee [] Amendment (Explain below) Statement - Attach Form 495 <br /> O Pdmadly Formed O Sponsored <br /> O Controlled O Broad Based <br /> O Sponsored <br /> <br /> I.D. NUMBER <br />3. Committee Information Treasurer(s) <br /> COMMIttEE NAME NAME OF TREASURER <br /> <br /> STREET ADDRESS (NO RD, BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> CITY AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> MAILING ADDRESS (IF DIFFERENT) NO. AND STI~EET OR FO. BOX MAILING ADDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX / E-MAILADDRESS "J ~ OPTIONAL: FAX/E-MAILADDRESS <br /> <br /> FPPC Form 460 (8/99) <br /> For Technical Assistance: 9161322-5660 <br /> State of California <br /> <br /> <br />