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Recipient Committee T COVER PAGE <br /> Campaign Statement YPe ar print in ink. Date Stamp � �_ � <br /> �����,���„�,��,:�. ' • 1 <br /> CoverPage ��„ ��. � , � <br /> .- <br /> (GovemmeM Code Sections 84200-84216.5) ����.,, i;,,,, � Y �-�.m <br /> Statement covers period Date of election if applica le: . � 9e of <br /> �����5 (Month, Day,Year) For �ciai u�oniy <br /> from ��i�P `� � ���� � <br /> SEE INSTRUCTIONS ON REVERSE throu h 9�19/15 11/3/15 �,Ex � <br /> 9 Y t7r�::=:;:r.�ir�;; <br /> 1. Type of Recipient Committee: au commma�-compieie Pa��,s,s,a�a a. 2. Type of Statem ���'��'�;a��� <br /> "'�°����.�„„. . <br /> � Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure � Preelection Statement �` ent <br /> Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report <br /> Q Recall Q Controlled ❑ Termination Statement <br /> (AlsoCanpletePart5) Q Sponsored Also file a Form 410 Termination ❑ Supplemental Preelection <br /> �aso c«nWere aen s� <br /> � ) Statement-Attach Form 495 <br /> ❑ General Purpose Committee ❑ Amendment(F�cplain below) <br /> Q Sponsored � Primarily Formed Candidate/ <br /> Q Small Contributor Committee Officeholder Committee <br /> Q Political Party/CenVal Committee (A�soCompletePert� <br /> 3. Committee Information I.D. NUMBER Treasurer(s) <br /> 1376624 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Shelly Masur for Redwood City Council 2015 Shelly Masur <br /> MAILING ADDRESS <br /> 440 Birch Street <br /> STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> 440 Birch Street Redwood City CA 94062 650-814-0349 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> Redwood Ciry CA 94062 650-814-0349 <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 ADORESS <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� �/1/ � <br /> 9/24/15 '� <br /> Executed on By <br /> Defe Sig dTreasureraAssistantTreasurer � <br /> 9/24h 5 <br /> EzeCUted on �� By SignatureofCmtrolNng h ,Candidafe,Sta MeasurePropa�entaResponsibleOficer�Spaisa <br />� ExeCUtBd On �� BY Signature dCmtrolling Officehdder,CandidaEe,State Measure Proponent . <br /> Ex2CUted 0� �� By SignaturedCmtroNingOfficehdder,CandidaEe,StateMeasureProponent <br /> FPPC Form 460(January/OS) <br /> FPPC Toll•Free Helpline:866/ASK-FPPC(8661275-3772) <br /> State of California <br />