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` COVER PAGE <br /> Recipient Committee Type or print in ink. Date Stamp � . � , • ' <br /> Campaign Statement �;� . <br /> Cover Page <br /> (Government Code Sections 84200-84216.5) <br /> Statement covers perfod Date of election if applicable: Page 1 of 12 <br /> (Month, Day,Year) <br /> from 10/20/2013 For Official Use Oniy <br /> SEEINSTRUCTIONS ON REVERSE through 12/ia/2013 11/OS/2oi3 <br /> 1. Type of Recipient Committee: Aii Commlttees—Complete Parts 1,s,s,and 4. 2. Type of Statement: <br /> x� Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement <br /> Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report <br /> Q Recall Q Controlled � Termination Statement ❑ Supplemental Preelection <br /> (AlsoCompletaPartS) Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 <br /> �,v�comPia�e�rts� � Amendment(Explain below) <br /> ❑ General Purpose Committee <br /> Q Sponsored � Primarily Formed Candidate/ <br /> Q Smalt Contributor Committee Officeholder Committee <br /> Q Political Party/Central Committee f�so car,�re Pan�J <br /> 3. Committee Information �•D. NUMBER Treasurer(s) <br /> � <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Committee to Elect Ernie Schmidt for Redwood City Council 2013 Georaina Baais <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS(NO P.O. BOX) C�TY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City, CA 94062 ( <br /> <br /> CITY STATE ZIP CODE ARfA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> Redwood Citv CA 94062 ( <br /> MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. 80X MAILING ADDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> Q t� a CA 94618 (� <br /> OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS <br /> 4. Verification <br /> I have used all reasonable diligence in preparing and reviewirtg this statemertt and to the best of my knowledge the information contai�ed herein and in the attached schedules is true and complete. i certify <br /> under penalty of perjury under tha laws of the State of California that the foregoing is true and correct. , <br /> ExeCUtBd on 12/18/2 01�3� BY nature ot Treasure AsslsmM T urer <br /> t <br /> Executed on ����e�2��� BY <br /> � Signature of Con ' ORiceholder,Candidate,State uie Proponantor Reaponsible Olflcerof Sponsor <br /> Executed on By <br /> � Sigrreture of Cakrd�ng Offlcehofder,Candidate,State Measure Proponent <br /> Executed on By <br /> Date Signeture of ControHing Otfioeiwlder,CandMate,State Measure Proponent FPPC Form 460(JaBUary/05) <br /> FPPC Toll-Free Heipline:8661ASK-FPPC(8661275-377Z) <br /> State of Calitornia <br /> www.netffle.com <br />