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� aCOVERPAGE <br /> Recipie, ommittee Type or prin nk. oate tam � . • , <br /> � <br /> Campai�n Statement JAN 31 2012 � � <br /> Cover Page <br /> (Government Code Sections 84200-84216.5) CITy OF REDWOOD CITy Pa e � of 2 <br /> Statement covers period Date of eleetion if appl' able: For ofticial Use oniy <br /> from <br /> 07/01/2011 (Month, Day, Year) qTYCLERK <br /> 12I31I2011 <br /> SEEINSTRUCTIONS ON REVERSE thfoUgh <br /> 1. Type of Recipient Committee: nn commineea-comPieca aa��,z,s,a�a a. 2. Type of Statement: <br /> Preelection Statement � QuaAery Statement <br /> ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure � Semi-annual Statement � Special Odd-Year Report <br /> Q State Candidate Eledion Committee Committee <br /> � Reca�� Q Controlled ❑ TerminationSWtement � SupplementalPreelection <br /> (AlsoCOmpktePart5J Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 <br /> (AlsoCOmpletePartfiJ � Amendment (Explain betow) <br /> � General Purpose Committee primari Formed Candidate/ g y <br /> � sponsored ❑ �' To report Name Chan e from Citizens To Protect Redwood it <br /> � Small Contributor Committee Officeholder Committee <br /> (Also Compbfe Pert 7) <br /> Q Political PartylCentral Committee <br /> I.D. NUMBER Treasurer(s) <br /> 3. Committee Information 1307639 <br /> COMMITTEE NAME (OR CANOIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Barbara J. Valley <br /> Citizens For Redwood City Political Action Committee MAILING AD�RESS <br /> <br /> STREET ADDRESS (NO P.O. 80%) CITY STATE ZIP COOE AREA CODEIPHONE <br /> Redwood City CA 94061 <br /> ��T� STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, If ANY <br /> Redwood City CA 94061 <br /> MAILING ADORESS (IF OIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADORESS <br /> P.O.Box 2163 <br /> STATE ZIP COOE AREA CODE/PHONE <br /> CITV STATE ZIP COOE AREA COOE/PHONE CITV <br /> Redwood City CA 94064-2163 <br /> OPTIONAL: FAX/E-MAIL ADDRE55 OPTIONAL'. FAX/E-MAIL AODRESS <br /> 4. Verification <br /> 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my kno d nformation contained herein and in the attached schedules is true and complete. I certi <br /> under penalty of perjury underthe laws of the State of California that the foregoing is true and correct. <br /> ezecuted on �anuary 31, 2012 By <br /> pe� aWmofTraesurerorAsnie�eMTressurer <br /> Executed on gY <br /> Date SipnaturaofCO oirgOHiceMldeqCentlidata,StataMeesurePmponerAOrResponsible0tficerWSponsar <br /> ExECUtcdon p� BY SignalureoiConfmllingORirshoWaqCeMidete,StateMaesureProponent <br /> EzewlEdon p� � By SgnaNreofCoMrollirg�ceMltleqCaMkete,$IateMeasurePmponeM FPPCForm4G0�January/05) <br /> FPPC Toll•Free Helpline:B661ASK-FPPC(868/275-3774) <br /> State ot Californla <br />