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Reci ient Committee COVER PAGE <br /> P• Date Stamp <br /> Campaign Statement ' � ' � • 1 <br /> Cover Page ������E �1 <br /> Statement covers period Date of election if applicable: Page of� <br /> 10/18/2015 (Month,Day,Year) For o cia�use on�y <br /> from ��� O � �O, <br /> SEE INSTRUCTIONS ON REVERSE 12/31/2015 11/03/2015 <br /> through <br /> 1. Type of Recipient Committee: au comm�ccee5-comPiete PartS�,z,s,a�a a. 2. Type of Statement: City C1�rk <br /> � Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement <br /> � State Candidate Election Committee Committee � Semi-annual Statement ❑ Special Odd-Year Report <br /> Q Recall � Controlled ❑ Termination Statement <br /> (AlsoCompletePartS) � S onsored <br /> P (Also file a Form 410 Termination) <br /> (Also Complete Part 6J <br /> ❑ General Purpose Committee ❑ Amendment(Explain below) <br /> � Sponsored ❑ Primarily Formed Candidate/ <br /> � Small Contributor Committee Officeholder Committee <br /> � Political Party/Central Committee (AlsoCompletePart7� <br /> 3. Committee Information I.D.NUMBER Treasurer(s) <br /> 1255762 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> lan Bain for City Council 2015 Lorianna Kastrop <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94063 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY <br /> Redwood City CA 94061 <br /> MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS <br /> CITY STATE ZIPCODE AREACODE/PHONE CITY STATE ZIPCODE AREACODE/PHONE <br /> OPTIONAL: FAXlE-MAILADDRESS 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 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 � t � � gy --- <br /> ate S' tur f Tre urer or sistant surer ` <br /> Executed on � ( ` � L� By � <br /> Da Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor <br /> Executed on By <br /> Date Signature of Controlling Offceholder,Candidate,State Measure Proponent <br /> Executed on By <br /> Date Signature of Controlling Offceholder,Candidate,State Measure Proponent <br /> FPPC Form 460(Jan/2016j <br /> FPPC Advice:advice@fppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br />