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Recipient Committee covER PAGE <br /> Campaign Statement Type or print in ink. Date Stamp CAL FORNIA <br /> RECEIVE FORM 460 <br /> Cover Page <br /> (Government Code Sections 84200 - 84216.5) FEB 1 6 2011 Page 1 of 1 <br /> Statement covers period Date of election if applic le: <br /> 07/01/2010 (Month, Day, Year) =or Official Use Only <br /> from CITY OF REDWOOD CITY <br /> SEE INSTRUCTIONS ON REVERSE through 12/31/2010 CITY CLERK <br /> 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: <br /> ® 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 0 Controlled <br /> (A /so Complete Part S) Sponsored ❑ (Also file a Form 410 ❑ Supplemental Preelection <br /> p (Also le a Form 410 Termination) Statement - Attach Form 495 <br /> (Also Complete Part 6) <br /> ❑ General Purpose Committee ® Amendment (Explain below) <br /> Q Sponsored ❑ Primarily Formed Candidate/ Prior Semi - Annual should not have Termination Statement checked. <br /> Q Small Contributor Committee Officeholder Committee <br /> Q Political Party/Central Committee (Also Complete Part 7) <br /> 3. Committee Information I.D NUMBER Treasurer(s) <br /> 970913 <br /> COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Friends of Jeff Ira Jeff Ira <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE <br /> Redwood City, CA 94065 <br /> CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> Redwood City, CA 94065 <br /> MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE <br /> OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS <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 certify <br /> under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br /> Executed on <br /> , d-- ----/ 6---/ / By � � Date / Sign. ureofTr���wAAssssistent Treasurer <br /> Executed on By <br /> Date Signature • ontrolling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor <br /> Executed on By <br /> Date Signature of Controlling Officeholder, Candidate, State Measure Proponent <br /> Executed on By <br /> Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) <br /> FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) <br /> State of California <br />