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Recipient Committee p�(e,app <br />Campaign Statement i �,C�E;F[. <br />Cover Page <br />Statement covers period Date of election if applic4ble: JAN 2 2017 <br />from <br />7/1/2016 (Month, Day, Year) <br />SEE INSTRUCTIONS ON REVERSEthrough 12/31/16 C,ty of Redwood City <br />I Ohs C!Cr!: <br />1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. <br />Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure <br />0 State Candidate Election Committee Committee <br />0 Recall 0 Controlled <br />(am Canpek Pan 5) 0 Sponsored <br />(Nao Compeb Part 6) <br />❑ General Purpose Committee <br />0 Sponsored <br />0 Small Contributor Committee <br />0 Political Party/Central Committee <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />IN. CompkkP n <br />3. Committee Information I.D. NUMBER <br />1313963 <br />COMMNTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />JOHN SEYBERT FOR CITY COUNCIL 2013 <br />STREETADDRESS (NO P.O. BOX) <br /> <br />CITY STATE ZIP CODE <br />REDWOOD CITY CA 94062 <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET 6R P.O. BOX <br /> <br /> <br />Pj <br />Type of Statement: <br />❑ Preelection Statement <br />IF�Semi-annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />Treasurer(s) <br />COVER PAGE <br />• <br />Page 1 of --41-- <br />For <br />4For Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />NAME OFTREASURER <br />RICHARD S. CLAIRE <br />MAILING ADDRESS <br /> <br />CITY STATE ZIPCODE AREACODE/PHONE <br />REDWOOD CITY CA 94062 <br />NAME OF ASSISTANT TREASURER, IFANY <br />MAILING ADDRESS <br />CITY STATE ZIPCODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHCNE <br />OPTIONAL: FAX/E-MAILADDRESS <br />OPTIONAL: FAX/E-MAILADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete, I <br />certify under penalty of perjury under the laws of the State of California that the foregoing i e an come . <br />Executed or, 1/2D5/2017 By dare <br />rI'/1rer�m Treawrer <br />Executed on I� By <br />Dale l Signature of i o alroging 0111i r, Cand,dada, Sf d. M.an. naponem or Responsible Officer of Sponsor <br />Executed on F,, <br />Date Signature of Connolling Officeholder. candidate, Stale Measure Proponent <br />Executed on By <br />Date Signature of Contrdfing Ofgnehalder, Cand,dela, State Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />