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Recipiert�Cornr�ittee <br /> Car�pa�agn�ta�ement <br /> Gover F'age <br /> (Gnvemm�nt Cade Sec#ions 842f1U-84236.5) <br /> 5EE iIVSTRUCT10N5 QIV REV�RSE <br /> 'iype or print in ink. <br /> 5tatement co��rs perPod <br /> �ram T11117 <br /> thraugh g��4�'�} <br /> 1. iype of Recipient Cammittee: a��cam��m�-c�,pi��e p��s�,z,s,a�d a, <br /> � Qfficehoider,Candidaie Controlted Commstte� [] Prirnari[y Formed BalEot Measure <br /> Q State Candidate Eleclion CommiiYee Cornmitiee <br /> � Recall Q Controlled <br /> �ar5oeomptereaa,tsl � Sponsorefl <br /> {Afso Compfete FaR 6J <br /> ❑ General Purpose Committee <br /> � 5por�sored [� Primarily Formed Candidatel <br /> �Smat{Contrik�utor Commii�ee Ofiiceholder CnmmiEfee <br /> � PoliticalPartylCent€alCommittee (Arsocom�eteFan�� <br /> 3. Comrnittee Information �•o��urns�R <br /> NAME (OR CAN�lDATE'S NAME <br /> lan Bairt for City CounciE 2D'I 1 <br /> STREE7 AI�I3RESS (NO I'.O. BOX) <br /> <br /> G[TY STATE Z!P CO�E AREA CQpElPHOi�IE <br /> Redwood City CA 94061 <br /> MAILIPJG AT7l7RES5 (I� DIFFERENT) N0.AF�ID STFtEET OR P.O. B6X <br /> CITY <br /> OPTIONAL: �AX I E-MAIL AD�JRESS <br /> STATE Z3P CO�E AREA COflElPHpNE <br /> pate of election if app91 <br /> (Montl�, Ray, Year) <br /> ��� s� ��ks� <br /> ! Page <br /> �, ,. .. _ _. _;�= - <br /> COVER PAGE <br /> ,.�...�..,—. oi f <br /> For(5fficial Use On[y <br /> '�9181'[1 ` <br /> www anw <br /> 2. Ty�� o#Statement: <br /> [,�J Preelection Statement � C�uatterly SiatemeRt <br /> ❑ SernMannual Statement ❑ Special add-Year Repart <br /> ❑ Termination 5tatement ❑ Supplemenfal Preelection <br /> (Alsn file a Form 490 Termination) Siatsment-Attach Form 495 <br /> [_] Amendment(Eacplain belaw) <br /> Treasurer(s) <br /> NAME OFTREASURER <br /> Lorianna Kastrop <br /> MAILING ADiJRESS <br /> 2$ Meadow Lane <br /> CITY STATE Z[P COpE AREA COI7�IPHON� <br /> Redwoqd City CA 94061 <br /> NAM� OF ASSiSTANT TREASURER,1F ANY <br /> MAILING A�URESS <br /> GiTY S7ATE �iP CDqE AREA COdE1PH6N� <br /> flPT10NAL: FAX!E-MAIL AilORE55 <br /> �. �OCt�IC�tIOC1 <br /> f f�ave usecf all reasonabte ditigence sn preparing and reviewing this staiemeni and to tMe best af my knowEsdge the information cantained t��rein and in the attached schedules is true and complet�. I certiiy <br /> under penatty of pesjury under the laws af the Staie of Cafifomia fhat the foeegoing is true and correct. � � �' <br /> Execu#ed Qn g/28/1� <br /> 6ate <br /> Execuied an 9I28111 <br /> E�ate <br /> Executed on <br /> IJate <br /> Executed on <br /> i7ate <br /> 8y <br /> By <br /> Sy <br /> SEgnature o#CaniroNingOff€ceh�der:Cand€date,Sfate Measure Propormnt <br /> By <br /> Signature of Co�hoN3ng bfficehoider,Can�date,SYate Measv�Proponenf FPPC Form 460{JanuarylOS) <br /> FPPC To[I-Free Helpf3ne:8667A3K-�PPC{8561275-3772) <br /> State of Catifor�ia <br />