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I Verification,: <br />I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under <br />penalty of perjury under the laws of the State of Calif that th fgregtoing is true and correct. <br />Executed on It L 1 :4 By /lVet1� <br />/1SIGNATURE OF TREASURER OR ASSISTANT TREASU RER <br />Executed on Iz4 / By d <br />ATE <br />Executed on By <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />Executed on By <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275.3772) <br />www.fpPc.ca.gov <br />RECEIVED JAAiND FILIMls <br />in the office of the Secretary of Stale <br />of the Sl,#Y of CaMom)a <br />Statement of Organization <br />JAN 26 26 1 <br />' <br />Recipient Committee <br />IE . <br />Statement Type El Initial ❑ Amendment <br />IJ7 Termination—See Parts <br />tqualified ❑ or List I.D. number: <br />List I.D. number: <br />JAN 2 4 2017,,,_,.. <br />1376624 <br />, L,fIf�_f12(31(2016 <br />:_,O1ffidalUse-§4--ZTM/EDNolye <br />a;y,^r,Er. ,d cDate <br />qualified as committee Date qualified as Committee <br />Date ofTermination ry <br />f,(.: �; F.,;.Qty <br />of Redw <br />Cd Cit(Ifapplicable)J1.Committee <br />rk <br />Informatiori <br />2..Treasurer and Other Prind al,Office[s <br />LL <br />NAME OFCOMMITTEE <br />NAME OF TREASU RER <br />Shelly Masur for Redwood City Council 2015 <br />Shelly Masur <br />STREET ADDRESS (NO P.O. BOX) <br />440 Birch Street <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE ZIP CO DE <br />AREACODE/PHONE <br />440 Birch Street <br />Redwood City <br />CA 94062 <br />(650)814-0349 <br />CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br />Redwood City CA 94062 (650)814-0349 N/A <br />MAILING ADDRESS (IF DIFFERENT) <br />RTREETADDRESS (NO P.O. BOX) <br />FAX/E-MAIL ADDRESS <br />CITY <br />STATE ZIP CODE <br />AREA CODEIPHONE <br />shelly@shellymasur.com <br />COUNTY OF DOMICILE IU RnDICTION WH ERE COMMITTEE IS ACTIVE <br />NAME OF PRINCIPAL OFFICER(S) <br />San Mateo Redwood City <br />Shelly Masur <br />STRE ET ADDRESS (NO P.O. BOX) <br />440 Birch Street <br />CITY <br />STATE ZIP CODE <br />AREACODE/PHONE <br />Attach additional information on appropriately labeled continuation sheets. <br />Redwood Citv <br />CA 94062 <br />(650)814-0349 <br />I Verification,: <br />I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under <br />penalty of perjury under the laws of the State of Calif that th fgregtoing is true and correct. <br />Executed on It L 1 :4 By /lVet1� <br />/1SIGNATURE OF TREASURER OR ASSISTANT TREASU RER <br />Executed on Iz4 / By d <br />ATE <br />Executed on By <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />Executed on By <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275.3772) <br />www.fpPc.ca.gov <br />