Laserfiche WebLink
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 July 1, 2017 <br />through December -31,2017 <br />1. Type of Recipient Committee: All Committees — Complete Parte 1, 2, 3, and 4. <br />® Officeholder, Candidate Controlled Committee <br />❑ Ballot Measure Committee <br />Q Stale Candidate Election Committee <br />O Primarily Formed <br />Q Recall <br />O Controlled <br />(Also Comp'ek Pa45) <br />O Sponsored <br />❑ General Purpose Committee <br />(Also Complete Part S) <br />0 Sponsored <br />❑ Primarily Formed Candidate/ <br />0 Small Contributor Committee <br />Officeholder Committee <br />p Political Party/Central Committee <br />(Also Compete Part 7) <br />3. Committee Information I.D. NUMBER <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMIT) 1374422 <br />Committee to Elect Janet Borgens for Redwood City Council 2015 <br />STREET ADDRESS (NO P.O. BOX) <br /> <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Redwood City Ca 94063 (650)364-2747 <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL. FAX / E-MAIL ADDRESS <br />COVERPAGE <br />R E CT rKt M D <br />Date of election If ap^Ilcable: JAN 2 3 2018 <br />(Month, Day, Yet I Pa 1 of 5 <br />City of R�OwoCd City For Official Use Only <br />City Clerk <br />2. Type of Statement: <br />❑ Preelection Statement ❑ Quarterly Statement <br />® Semi-annual Statement ❑ Special Odd -Year Report <br />❑ Termination Statement ❑ Supplemental Preelection <br />❑ Amendment (Explain below) Statement - Attach Form 495 <br />Treasurer(s) <br />NAME OF TREASURER <br />Hollis Matheny <br />MAILING ADDRESS <br /> <br />CITY <br />Fremont <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY <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 <br />certify under penalty of perjury under the laws of the Stale or California that the foregoin s hue and correct. <br />Executed an l By <br />- S9rreN <br />Executed on / By / / <br />Dere / ' ar DeicaraldY <br />STATE ZIP CODE <br />Ca 94536 <br />STATE ZIP CODE <br />AREA CODE/PHONE <br />(408)242-6815 <br />AREA CODE/PHONE <br />contained herein and in the attached schedules is true and complete. I <br />Executed ^- DeBy " <br />b 61grbNreofConpWGix)Officahol4ar. CenGWele, Sreb Measure Proparrenl <br />Executed on By <br />Dere Sgnanxe olControaig OrxahoHer, Candidate, State Measure Pmponem <br />FPPC Form 460 (Junel01) <br />FPPC Toll -Free Helpline: 666/ASK-FPPC <br />State of California <br />