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I C 'DIDATE AND OFFICEHOLDER CAMi~,IGN STATEMENT - SHORT FORM --- (Government Code Section 84205) Form 470 1985 For use by candidates if less than $500 has been raised or spent or will be raised or spent by or on behalf of the candidate; and by officeholders if less than $500 has peen raised or spent or will be raised or spent by or on behalf of the officeholder A OFFICIAL US[ ONLY during the calendar year. (Type or Print in Ink) Statement covers period from ]/1/85 through 6/,3~85 RICHARD S. CLAIRE el fy ~nHncilman 244 Alameda de las P~lgas Redwood City, California 94062 (415) 365-6794 I April 13, 1982 LIST ALL COMMITTEES WHICH YOU CONTROL OR OF WHICH YOU HAVE KNOWLEDGE WHICH ARE PRIMARILY-FORMED TO RECEIVE CONTRIBUTIONS OR MAKE EXPENDITURES ON BEHALF OF YOUR CANDIDACY CONTROLLED COMMITTEE#? COMMITTEE NAME COMMIT'FEE TREASURER AND I.D. NUMBER ADDRESS YES NO ~ A controlled committee is one which is controlled directly or ind/rectly by you or which acts jointly w/th you or one of your con. trolled committees in connection with the making of expenditures. You control a corem~tree if you, your agent or any other committee you control has significant influence on the actions or decisions of the committee. VERIFICATION I declare under penalty of perjury that to the best of my knowledge less than $500 has been received or expended or will be received or expended on behalf of or in support of my candidacy, by myself or by any person or com- mittee of which I have knowledge. Executedon /~ ~,~ /~ at Redwood City, California For information required to be provided to yon purmam to the Information Practices Act of 1977, me "lnformction Manual on Campaign Disotosum Provisions of the Politio~l Reform Act," pert X.