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OPTIONAL: FAX/ E-MAIL ADDRESS <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 information contained herein and in the attached schedules is true and complete. I <br />certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />Executed on 1/30/2017 By <br />Date (/ S,gnttur of�yeas rAssistantIra er <br />Executed on 1/30/2017 By .0 /�'a " S l`t�L� <br />Date Sign re of Controlling Offceliorder, ndidate, State Measure Proponent or Responswie ut—, - opoasor <br />Executed on BY <br />Date Signature of Controlling Officeholder, Candidate, State Measure Proponent <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 />COVER PAGE <br />Recipient Committee <br />R� ; j'�(ED • <br />Campaign StatementFORM <br />Cover Page <br />JAN 3 U 2017 Page 1 of 3 <br />Statement covers period <br />Date of election if applicai0le: <br />07/01/2016 <br />(Month, Day, Year) <br />F •r Official Use Only <br />from <br />City of Redwood City <br />12/31/16 <br />city Clerk <br />SEE INSTRUCTIONS ON REVERSE <br />through <br />1. Type of Recipient Committee: An committees -Complete <br />Parts 1, 2, 3, and 4. <br />2. Type of Statement: <br />0 Officeholder, Candidate Controlled Committee ❑ <br />Primarily Formed Ballot Measure <br />❑ Preelection Statement <br />❑ Quarterly Statement <br />O State Candidate Election Committee <br />Committee <br />Semi-annual Statement <br />❑ Special Odd -Year Report <br />O Recall <br />O Controlled <br />❑ Termination Statement <br />(Also Complete Part 5) <br />O Sponsored <br />(Also file a Form 410 Termination) <br />❑ General Purpose Committee <br />(Also Complete Part 6) <br />❑ Amendment (Explain below) <br />• Sponsored ❑ <br />Primarily Formed Candidate/ <br />• Small Contributor Committee <br />Officeholder Committee <br />• Political Party/Central Committee <br />(Also Complete Part 7) <br />3. Committee Information I <br />I.D. NUMBER <br />Treasurer(s) <br />1357417 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />NAME OF TREASURER <br />Diane Howard for Redwood City Counci12013 <br />Jeffrey Ira <br />MAILING ADDRESS <br />333 Twin Dolphin Drive, Suite <br />230 <br />STREETADDRESS (NO P.O. BOX) <br />CITY <br />STATE ZIP CODE AREACODE/PHONE <br /> <br />Redwood City <br />CA 94065 650-802-8668 <br />CITY STATE ZIP CODE <br />AREA CODE/PHONE <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Redwood City CA 94062 <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />CITY <br />STATE ZIP CODE AREACODE/PHONE <br />OPTIONAL: FAX/ E-MAIL ADDRESS <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 information contained herein and in the attached schedules is true and complete. I <br />certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />Executed on 1/30/2017 By <br />Date (/ S,gnttur of�yeas rAssistantIra er <br />Executed on 1/30/2017 By .0 /�'a " S l`t�L� <br />Date Sign re of Controlling Offceliorder, ndidate, State Measure Proponent or Responswie ut—, - opoasor <br />Executed on BY <br />Date Signature of Controlling Officeholder, Candidate, State Measure Proponent <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 />