Redwood City Teachers Association PAC 07-01-2013 thru 12-31-2013 Semi-Annual 450

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Recipient Committee Campaign Statement — Short Form SEE INSTRUCTIONS ON REVERSE For use by recipient committees that have not received a contribution or other receipt that must be itemized, have not received or made loans, and have no outstanding accrued expenses. 1. Type of Recipient Committee: ❑ Ballot Measure Committee Q Primarily Formed Q Controlled Q Sponsored ❑ Primarily Formed Candidate/ Officeholder Committee 3. Committee Information Type or print In Ink. Statement covers period 7/1/13 from 12/31/13 through [M General Purpose Committee ® Sponsored Q Small Contributor Committee I.D. NUMBER 1347115 COMMITTEE NAME Redwood City Teacher's Association Political Action Fund STREETADDRESS (NO P.O. BOX) 1553 Jefferson Ave. # A CITY STATE ZIP CODE AREA CODE/PHONE Redwood City CA 94062 (408) 806-6176 MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX PO BOX 610118 CITY STATE ZIP CODE AREA CODE/PHONE Redwood City CA 94061 OPTIONAL: FAX/ E-MAIL ADDRESS beemagdaleno ggmaii.com SHORTFORM Date Stamp t I .� Date of election if applicable: RECEIV age ( of --�' (Month, Day, Year) JAN 3 0 2014 For-)Mclal Use Only - Crry OF REDWOOD CiFy 2. Type of StateMtxi m. %-I r r v1.tRK ❑ Pre-election Statement ❑ Quarterly Statement ® Semi-annual Statement ❑ Special Odd -year Report ❑ Termination Statement ❑ Supplemental Pre-election Statement - Attach Form 495 ❑ Amendment (Explain) (Also check type of statement you are amending) Treasurer(s) NAME OF TREASURER Beatrice Magdalen MAILINGA DRESS 1553 Jefferson Ave. # A CITY STATE ZIP CODE Redwood City CA 94062 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE OPTIONAL: FAX/ E-MAIL ADDRESS AREA CODE/PHONE (408) 806-6176 AREA CODE/PHONE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury unde the laws of the State of California that t foregoin is true an correct. r1 Executed on / �>n � � By 0 O�TE SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 450 (January/05) FPPC Toll -Free Helpline: 886/ASK-FPPC (888/275-3772)