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COVER PAGE <br />"' -:-:~ ',,e~,,~,,=n, Committee ~or print In Ink. <br />Campaign Statement <br />(Go,eminent Code Sections 84200-84216.5) : <br /> <br /> CiTY OF REDWOOD CITy <br /> CITY CLERK <br />SEE INSTRUCTIONS ON REVERSE .rough <br /> <br /> Typ® of Re¢ipiBnt Committee: ~l co~.m,*..- co~,~ .~ ~, ~, ~, ... ?. 2. Typ~ <br /> of <br /> Statement: <br /> /~ Offlcehotdar, Candidate [] Primarily Formed Candidate/ [] Pre-election Statement [] Quarterly Statement <br /> Controlled Committee Officeholder Committee [] Sami-annual Statement [] Special Odd-Year Report <br /> (A~so coe~,ete Part 4J (Aisc Comp~t~ P~rt 6.) [] Termination Statement [] Supplemental Pre-election <br /> [] Ballot Measure Committee [] General Purpose Committee <br /> J~' Amendment (Explain below) Statement - Attach Form 495 <br /> Co ControlledPdmadly Formed cO SponsoredBroad Based <br /> O Sponsored <br /> <br />3. ~ommitt** In[ormafion ?r~asur~r{B) <br /> ,~ NAME OF ASSISTANT TREASURER, IF ANY <br /> <br /> CiTY STATE ZIP CODE AREA CODF~PHONE CITY STATE ZJP COOE AREA CODE~HONE <br /> <br /> OPTIONAL: FAX/E-MAILADORESS OPTIONAL: FAX/E~AILADDRESS <br /> <br /> FPPC Form 460 (8/99) <br /> <br /> <br />