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AMENDMENT TO CAMPAIGN DISCLOSURE STATEMENT <br /> This form must be used to amend statements filed IDursuant to Government <br /> _. Code Sections 84200-84216.5. and must be filed w~tn all filing officers who <br />~ emend a Statement of Organization (Form 410). To amend a Statement of <br /> Organization, use the Form 4 I0. [t - ~ITY CLERK <br /> FORM 405 (Type or Print in Ink) <br /> <br /> I. The information required in Section I must correspond to the information provided <br /> on/.he campaign statement. <br /> I.D. NO. (IF APPLICABLE); <br /> NAME OF FILER: (See important mtormauon on reverse ) <br /> 880343 <br /> 'Judy Buchan <br /> MAILING ADDRESS OF FILER: NO AND STREET CITY STATE ZiP CODE AREA CODE/PHONE NUMBER <br /> <br /> Redwood City CA 94063 ( <br /> <br /> NAME OF TREASURER IF RECIPIENT COMMITTEE; <br /> <br /> Dorothy Buchan <br /> PERMANENT ADDRESS OF TREASURER (IF APPLICAaLE): NO. AND STREET CITY STATE ZiP CODE AREA CODE/PHONE NUMBER <br /> Redwood City CA 94063 ( <br /> <br /> following information amends campaign disclosure statement. Form No. 490 Executed on <br /> II. The ' <br /> ?'/c~/~'~ ' for the period 1/' /'~ ' through ~,/,~ o/~/._) <br /> I~0.. D~. ~n.) <br /> <br /> III. The amendecl reformation affects items on the: <br /> ~ Summary Page <br /> E] cover Page r'-] Allocation Page <br /> <br /> E] Schedule(s) E] Part(s) <br /> <br /> Iv. Describe the changes below. Include in detail all information, you wish to become a part of your official campaign <br /> statement Also ar~ach a ~c~ver page, summary page or appropriate schedule if needed for clarification. <br /> <br /> Math corrections " : <br /> <br /> Includea,~d~tlonal~nforma~iononaoDroor~a~elylabeleOconI~nuat~onshee~' (NumOer of D~g~a~ached ~ <br /> <br /> VERIFI~ON <br /> I ~AV[ U~ED ALL REASONABLE DILI~NC[ IN PREPAR~N~ ~NI~ ~TATE~ENT I NAVE REVIEWED THE ~TATE~ENT AND TO THE BEST O~ ~Y <br /> KNOWLEDGE THE INFORMATION CONTAINED HEREIN AND IN THE A~ACHED SCHEDULES IS TRUE AND COMPLETE. <br /> I CERTIFY UN~ER PENALTy OF PERJURYmUNDER THE~W~OF THE STATE OF ~LIFO~NIA~THAT THE FOREGOING 1S TRuE AND CORRECT <br /> <br /> A ~N~AT[, OFF~[HOLD[R OR 5TAT[ MEASURE ~O~N[NT WHO CON.DE5 A CO~[[ ~ST A~O V[~YTHI5 <br /> A~END~ENTTO THE ~A~ 5~ATE~ENT <br /> I HAVE USED ALL REASONABLE DILIGENCE. AND TO THE BEST OF MY K~WLEDGE. THE TREASURER HAS USED ALL REASONABLE <br /> DILIGE~E IN PREPARING THIS STATEMENT ~ HAVE REVIEWED THE STATEMENT AND TO THE BEST O~ <br /> IN~R~T~N CONTAINED HEREIN AND IN THE A~ACHED SCHEDULES IS TRUE A~D COMPLETE. <br /> C <br /> I CERTIFY uNDER PENALTY OF PERJU~ UNDER THE ~ OF THE STATE~F ~LI~NIA THAT THE ~REGOING IS TRuE AND <br /> <br /> E EXECUTED ON ~T <br /> ~ EXECUTED ON ~T BY <br /> <br /> <br />