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Recipient Committee - Date Stamp COVER PAGE <br />Campaign Statement • <br />Corer Page <br />SEE INSTRUCTIONS ON REVERSE <br />from <br />Statement covers periodI Date of election if applicable: <br />2020 <br />October 18,(Month, Day, Year) <br />through <br />December 31, 2020 <br />November 3, 2020 <br />JAN 2 6 2021 <br />CITY <br />For <br />of 6 <br />se Only <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 0 Preelection Statement ❑ Quarterly Statement <br />O State Candidate Election Committee Committee m Semi-annual Statement ❑ Special Odd -Year Report <br />O Recall O Controlled ❑ Termination Statement <br />(Also Complete Part 5) O Sponsored <br />(AlsoCompleleParffi) (Also fie a Form 410 Termination) <br />E] General Purpose Committee ❑ Amendment (Explain below) <br />O Sponsored ❑ Primarily Formed Candidate/ <br />O Small Contributor Committee Officeholder Committee <br />O Political Party/Central Committee (Also Complete Ped 7) <br />3. Committee Information <br />I.D. NUMBER <br />1374422 <br />Committee to Elect Janet Borgens for City Council 2020 <br />STREETADDRESS NO P.O. BOX) <br />CITY STATE ZIP CODE <br />Redwood City CA 94063 <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY STATE ZIP CODE AREACODEIPHONE <br />OPTIONAL: FAX / E-MAILADDRESS <br />Treasurer(s) <br />NAME OF TREASURER <br />Hollis Matheny <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PriONE <br />Mesa AZ 85210 <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZiP CODE AREA CODEiPriONE <br />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 <br />certify under penalty of perjury under he laws of the State of California that the foreWof <br />Executed on 4 t By <br />ale SiMnTreasumoJrASs�islBntT�reagurer <br />Executed on L ' By_ v <br />D ceholder, Candidate, tate Measura Proponent or Resporskble Ofter of Sponsor <br />Executed on <br />Date <br />Executed on <br />Date <br />.y Signature of ConlroUing Officeholder. Candidate, State Measure Proponent <br />By Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www fnnr ra onv <br />