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Pal <br /> e <br /> Recipient Committee <br /> Campaign Statement <br /> Cover Page <br /> SEE INSTRUCTIONS ON REVERSE <br /> Statement covers period <br /> from January 1 ,2019 <br /> June 30,2019 <br /> through <br /> 1 . Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br /> 7 <br /> Officeholder, Candidate Controlled Committee <br /> O State Candidate Election Committee <br /> O Recall <br /> (Also Complete Part 5) <br /> n General Purpose Committee <br /> O Sponsored <br /> O Small Contributor Committee <br /> O Political Party/Central Committee <br /> Primarily Formed Ballot Measure <br /> Committee <br /> O Controlled <br /> O Sponsored <br /> (Also Complete Part 6) <br /> H Primarily Formed Candidate/ <br /> Officeholder Committee <br /> (Also Complete Part 7) <br /> Date of election if appl <br /> (Month, Day, Yea <br /> cable: <br /> Pa ,� <br /> Lk_. 0 ikb tt .c .r <br /> JUL 0 8 2019 <br /> City of Redwood City <br /> City C!erk <br /> 2. Type of Statement: <br /> 2 <br /> Preelection Statement <br /> Semi-annual Statement <br /> Termination Statement <br /> (Also file a Form 410 Termination) <br /> Amendment (Explain below) <br /> COVER PAGE <br /> 1 <br /> of <br /> For Official Use Only <br /> ❑ Quarterly Statement <br /> ❑ Special Odd-Year Report <br /> 1 Committee Information <br /> I.Q. NUMBER <br /> 1374422 <br /> COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br /> Committee to Elect Janet Borgens for City Council 2015 <br /> STREET ADDRESS (NO P.O. BOX) <br /> <br /> CITY <br /> Redwood City <br /> STATE ZIP CODE <br /> CA 94063 <br /> AREA CODE/PHONE <br /> ( <br /> MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br /> CITY <br /> STATE <br /> ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX / E-MAIL ADDRESS <br /> Treasurer(s) <br /> NAME OF TREASURER <br /> Hollis Matheny <br /> MAILING ADDRESS <br /> <br /> CITY <br /> <br /> STATE ZIP CODE <br /> AZ 85283 <br /> AREA CODE/PHONE <br /> ( <br /> NAME OF ASSISTANT TREASURER, IF ANY <br /> MAILING ADDRESS <br /> CITY <br /> STATE ZIP CODE <br /> AREA CODE/PHONE <br /> OPTIONAL: FAX ! E-MAIL ADDRESS <br /> 4. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the info <br /> certify under penalty of perjury under the laws of the State of California that the foregoing is t ue and correct. <br /> Executed on <br /> Executed on <br /> Date <br /> Executed on <br /> Executed on <br /> Date <br /> l57 <br /> Date <br /> Date <br /> By <br /> By <br /> By <br /> By <br /> ation contained herein and in the attached schedules is true and complete. I <br /> of Treasurer Assistant Treasurer <br /> Signature <br /> 6) <br /> ature of Controlling Officehol r, Candidate, Sta easure Proponent or Responsible Officer of Sponsor <br /> Signature of Controlling Officeholder, Candidate, State Measure Proponent <br /> Signature of Controlling Officeholder, Candidate, State Measure Proponent <br /> FPPC Form 460 (Jan/2016) <br /> FPPC Advice: advice @fppc.ca.gov (866/275-3772) <br /> www.fppc.ca.gov <br />