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Recipient Committee <br />Campaign Statement <br />Cover Page <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers periodI Date of election if <br />from <br />January 1, 2018 (Month, Day, <br />through <br />June 30, 2018 <br />1. Type of Recipient Committee: All Committees -Complete Parts t, 2, 3, and 4. <br />Officeholder, Candidate Controlled Committee <br />❑ Primarily Formed Ballot Measure <br />0 State Candidate Election Committee <br />Committee <br />0 Recall <br />0 Controlled <br />(R. c°m°lata Pan 5) <br />0 Sponsored <br />E]General Purpose Committee <br />W. C Mplala Pad 6) <br />0 Sponsored <br />❑ Primarily Formed Candidate/ <br />0 Small Contributor Committee <br />Officeholder Committee <br />Political Party/Central Committee <br />(Also Complete Part 7) <br />3. Committee Information <br />I.D. NUMBER <br />1374422 <br />Committee to Elect Janet Borgens for City Council 2015 <br />STREETADDRESS (NO P.O. BOX) <br /> <br />CITY STATE ZIP CODE AREACODE/PHONE <br />Redwood City CA 94063 ( <br />MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX <br />CITY STATE ZIPCODE AREA CODE/PHONE <br />OPTIONAL: FAX /E-MAILADDRESS <br />ECEIVED <br />JUL - 2 2018 <br />Ci of Redwood City <br />2. Type of Statement <br />❑ Preelection Statement ❑ Quarterly Statement <br />Semi-annual Statement ❑ Special Odd -Year Report <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />COVER PAGE <br />of <br />Treasurer(s) <br />NAME OF TREASURER <br />Hollis Matheny <br />MAILINGADDRESS <br /> <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Fremont CA 94536 ( <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILINGADDRESS <br />CITY STATE ZIP CODE AREACODE/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 /eZation contained herein and in the attached schedules is true and complete. <br />certify under penally or perju un er the laws of the State of California that the foregoing' and co ecl n <br />Executed on —� <br />oat By <br />Signature of Treasyverar ista�nl%Treasurer <br />Executed on B <br />Data <br />Executed on By <br />Date Signature o(Conirolimg OlAcahoNeg Candidate, Stale Measure Proponent <br />Executed on By <br />Date Signature of Conirollmg OMceholtler, Candidate, Stele Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275.3772) <br />www.fppc.ca.gov <br />