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Statement of Organization DREG Stomp CALIFORNIA �q 1 a <br /> Recipient Committee <br /> CORM <br /> �t <br /> Statement Type ❑initial 0 Amendment ❑ Termination—See Part S RECEIVE*. Fo►OMda(use Only <br /> Not yet qualiiuled 13 or List 1.0.number: List 1.0.number. <br /> p 1313963 # MAY 15 2013 <br /> _,../..,„.........,/,_ ----/ ______..../.....,_/_ CITY OF REDWOOD CITY <br /> Date qualified as committee Date qualified ppYbbl as com�)mittee Date of Termination CITY CLERK <br /> V.:.: ommlttee I;nforrnration . .. . . . .. ..p .... . <br /> ,., ,.:. . . � ;: = , 2 Tire surer and Otlertprii�ct al'�Offi�er� , '' ;, <br /> NAME OF COMMITTEE NAME OF TREASURER <br /> John Seybert for Redwood City Council 2013 Richard Claire <br /> STREET ADDRESS(NO P.O.BOX) STREET ADDRESS(NO P.O.BON) <br /> <br /> QTY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE <br /> Redwood City CA 94062 ( Redwood City CA 94062 ( <br /> MAIUNG ADDRESS(IF DIFFERENT) NAME OF ASSISTANT TREASURER,IF ANY <br /> Redwood City, CA94062 <br /> FAX/E-MAIL ADDRESS STREET ADDRESS(NO P.O.BOX) <br /> <br /> COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE ZIP CODE AREA CODE/PHONE <br /> San Mateo <br /> NAME OF PRINCIPAL OFFICER(S) <br /> Attach additional Information on appropriately labeled continuation sheets STREET ADDRESS(NO P.O,BOX) <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> t have used all reasonable diligence In preparing this statement and to the best of my knowledge the information contained herein Is true and complete. t certify under <br /> penalty of perjury under he-laws of the State of Califo - .t t - r1• : rue and correct. <br /> Executed on 611(.45 8y /r.f -.,.41'. .,! <br /> ATII W�U,REOF! Q • ASSISTAN TIER <br /> Executed on '7(3Dtij '1 By —_ f�`T�; <br /> ! �A NAT 'E OF CONTROLUN, •FFI• N :ER DIDATE,OR STATE MEASURE PROPONENT <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(Dec/2012) <br /> FPPC Advice:advice @fppc.ce.gov(866/275.3772) <br /> www.fppc.ca.gov <br />