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Recipient Committee COVER PAGE <br />Campaign Statement Type or print in ink. Dale Stamp <br />(Government Code Sections 84200-84216 5) ~ ~: :~ <br /> Statement covers period Date of election if applicable: i'j )age __ _ <br /> from llJ]g:)g;~ (Month, Day, Year) JUL :3X ZOO0 For Official Use Only <br /> <br />SEE INSTRUCTIONS ON REVERSE through ~::~/,~O/~ CITY OF REDWOOD CITY <br /> - CITY CLERK <br /> <br />1. Type of Recipient Committee: AIICommittees-Complete Partsl, 2,3, and7. 2. Type of Statement: <br /> ~' Officeholder, Candidate [] Primarily Formed Candidate/ [] Pre-election Statement [] Quarterly Statement <br /> Controlled Committee Officeholder Committee [] Semi-annual Statement [] Special Odd-Year Report <br /> (Aisc Complete Part4.) (Aisc Complete Part6.) ~ Termination Statement [] Supplemental Pre-election <br /> [] Ballot Measure Committee [] General Purpose Committee <br /> [] Amendment (Explain below) Statement - Attach Form 495 <br /> O Primarily Formed O Sponsored <br /> O Controlled O Broad Based <br /> O Sponsored <br /> (Aisc Complete Part 5.) <br /> <br /> I.D. NUMBER <br />3. Committee Information Treasurer(s) <br /> COMMITTEE NAME NAME OF TREASURER <br /> <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS (NO P.O. BOX) <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> <br /> MAILING ADDRESS (IF DII~ERENT) NO, AND STREET OR P.O. BO~- MAILING ADDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZiP CODE AREA CODE/PHONE <br /> <br /> OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS <br /> <br /> FPPC Form 460 (8199) <br /> For Technical Assistance: 916/322-5660 <br /> State of California <br /> <br /> <br />