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:. :; <br /> Recipient Committee T COVER PAGE <br /> ype or print In ink. Date Sfamp � . ' <br /> Campaign Statement � � . � • <br /> Cover Page �— (�+� pp f2 <br /> (Government Code Sections 84200-&4216.5) � 1� � ly � � 1'1 IS Pa9e I of <br /> Statement covers period Date of election if applicab �. � <br /> 1/1/2009 (MOnth, Day,Year) ��� 3 1 Z009 For Oif¢ial Use onq <br /> from I <br /> p�7Y OF REDWOO�CITY � <br /> SEE INSTRUCTIONS ON REVERSE thfough 6I3O/ZOOJ � CITY CLERK <br /> 1. Type of Recipient Committee: nn comm�nees-comPie�e aa��,z,a,a�a a. 2. Type of Statement: <br /> ❑ O�ceholtler,Candidate Controlled Committee ❑ Primarity Formed Balbt Measure ❑ Preelection Statement ❑ QuaAerty Statement <br /> Q State Candidate Election Committee Committee ❑ Semi-annual Statement � Special Odd-Year Report <br /> � Recall �Controlled ❑ Termination Statement <br /> (AlsoCanpletePartS) � Sponsored Also file a Fortn 410 Termination � Supplemental Preelection <br /> ( ) Statement-AKach Form 495 <br /> (awcwr�dereaarrb� Amendment Ex lain below <br /> � General Purpose Commitlee ❑ � P � <br /> Q Sponsoretl � Primarily Fortned Candidate/ The Treasurer has been changed. <br /> QSmaIlContributorCommittee OffceholderCommittee <br /> QPOliticalParty/CentralCOmmittee (AlsoCOmple(ePert]) <br /> 3. Committee Information I.D. NUMBER Treasurens) <br /> 130639 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Citizens to Protect Redwood City Plitical Action Committee Richard Claire <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS(NO P.O. BOX) CITV STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94062 <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 ZIP CODE AREA CODEIPHONE CITY STATE ZIP COOE AREA CODE/PHONE <br /> UPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FA%/E-MAIL ADDRESS <br /> 4. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of m�edge th�infor tioC�erein and in the attachetl schedules is We and complete. I certify <br /> untler penalty of perjury untler th laws of the State of Califomia that ihe(oregoing is true and c /� <br /> . <br /> Executed on� By l` �`�f� <br /> q�e � Sig o/Tre �aASVStan�Treawrx <br /> Ex��t�o� 7130 ! �`� aY � <br /> Data re�iveWCmhdlirgOtfice tler,CanEitl a,S�ateMeaSUreR'oponenlo�ResponsideORicerd5ponsor <br /> 6cecutatl on By <br /> Dale SiBnaWre ofCOnVOIfnB��h0ltler,CantliEate,Stala Meawre Prtponent <br /> Executed on By <br /> Oate Signatute ofCOnlmlGngOF�tnNk�,CanNEate,$talaMeafiae RopaiefLL <br /> FPPC Form 460(January/06) <br /> FPPC Toli-Free Helpline:B66IASK-FPPC(6661276-3772) <br /> State ot Calitomia <br />