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Recipient Committee t COVER PAGE <br /> Campaign Statement �����r�=� � � � ' � � <br /> Cover Page <br /> Statement covers period Date of election if applica . <br /> �U G 0 2 2016 Pa9• � °' 4 <br /> from <br /> 1/01/16 (Month,Day,Year) F rOificial Use Only <br /> City o4�s��•:1uod�;ity <br /> SEE INSTRUCTIONS ON REVERSE th�0ugh 6/30/16 N/A City C9erk <br /> 1. Type of Recipient Committee: All Committees—Complete Parts 1,z,a,and 4. Z. Type of Statement: <br /> � Officeholder,Candidate Controlled Committee ❑ Primariy Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement <br /> � State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report <br /> � Recall � Controlled ❑ Termination Statement <br /> �^�°�°"'�r°re P°'t5� � Sponsored (Also file a Form 410 Termination) <br /> (Nw Compbte Pe�t 6) . <br /> ❑ General Purpose Committee ❑ Amendment(Explain below) <br /> � Sponsored ❑ Primarily Formed Candidate/ <br /> � Small Contributor Committee Officeholder Committee <br /> � Poiitical Party/Central Committee �aS0�0`"�°�n <br /> 3. Committee Information �•D.NUMBER Treasurer(s) <br /> 1376624 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Shelly Masur for Redwood City Council 2015 Shelly Masur <br /> MAILING ADDRESS <br /> 440 Birch Street <br /> STREETADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> 440 Birch Street Redwood City CA 94062 650-814-0349 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY <br /> Redwood City CA 94062 650-814-0349 <br /> MAILING ADDRESS(IF DIFFEREN7)NO.AND STREET OR P.O.BOX MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAILADDRESS <br /> 4. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowled e the information contained herein and in the attached schedules is true and complete. I <br /> certify under penalty o��rjury ynder the laws of the State of Califomia that the foregoing is true and ect. � C — <br /> Executed on � L� I � By <br /> �' ��te nature f T asurer or Assistant Treasuror <br /> Executed on �t L <br /> Date Y By Signalure of Controlling Offic ! andidate, tate Measure Proponenl a nsible ifieer of Sponsor <br /> Executed on By <br /> Date Signature o on ing Officeholder,Candidate,State Measure Propo�ent <br /> Executed on By <br /> Date 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 />