Laserfiche WebLink
Officeholder and Candidate <br />Campaign Statement - <br />Short Form <br />1. Statement Covers Calendar Year 20 <br />Date of election if applicable: <br />(Month, Day, Year) <br />11/2015 <br />❑ Amendment (Explan Below) <br />T - <br />RECEIVED <br />Date Stamp <br />RECEIVE <br />JUN d r 26171 <br />UIty of Redwood City <br />City Clerk <br />i <br />2. Officeholder or Candidate Information 3. Office Sought or Held <br />NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br />Ian Bain City Council <br />STREETADDRESS JURISDICTION (LOCATION) DISTRICT NUMBER <br />(IF APPLICABLE) <br /> Redwood City <br />CITY STATE ZIP CODE <br />Redwood City CA 94061 <br />AREACODEIDAYTIME PHONE NUMBER OPTIONAL FAX I EMAIL ADDRESS <br /> <br />4. Committee Information <br />List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. <br />COMMITTEE NAME AND to NUMBER COMMITTEE ADDRESS NAME OF TREASURER <br />N/A <br />5. Verification <br />I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $2 ,000 and that I will spend less than $2,000 during the calendar year and that I have <br />used all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the:!Z, <br />at the foregoing is true and ct. <br />5/31/17 <br />Executed on By _ <br />DATE SI *�— <br />EHOLDER OR CANDIDATE <br />Clear Form I I Print Form <br />FPPC Form 4701470 Supplement (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (8661275-3772) <br />www.fppc.ca.gov <br />