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Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />.. '� COVER PAGE <br />Type or print in ink. �V S <br />R `C D 2001/02 460 <br />FORM <br />Z <br />Statement covers period Date of election if pplicable: JAN 31 'J13 1 ,� <br />from <br />07/01/2012 (Month, Day, `mar) Nage of <br />- CI—Y OF REDWOOD CITY For Official Use Only <br />throughRK <br />12/31/2012 CITY CLE I <br />1. Type of Recipient Committee: All Committees - complete Parts 1, 2, 3, and 4. <br />® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee <br />0 State Candidate Election Committee 0 Primarily Formed <br />0 Recall 0 Controlled <br />(Also Complete Part 5) 0 Sponsored <br />(Also Complete Part 6) <br />❑ General Purpose Committee <br />0 Sponsored <br />0 Small Contributor Committee <br />0 Political Party/Central Committee <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />(Also Complete Part 7) <br />3. Committee Information I.D. NUMBER <br />1276471 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Friends to Elect Alicia Aguire for City Council 2011 <br />STREET ADDRESS (NO P.O. BOX) <br /> <br />CITY STATE ZIP CODE <br />Redwood City CA 94065 <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />AREA CODE/PHONE <br />STATE ZIP CODE AREA CODE/PHONE <br />2. Type of Statement: <br />❑ Preelection Statement <br />R Semi-annual Statement <br />❑ Termination Statement <br />❑ Amendment (Explain below) <br />Treasurer(s) <br />NAME OF TREASURER <br />Jeffrey Ira <br />MAILING ADDRESS <br /> <br />CITY <br />Redwood City <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />650-802-0866 <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />❑ Supplemental Preelection <br />Statement - Attach Form 495 <br />STATE ZIP CODE <br />CA 94065 <br />STATE ZIP CODE <br />AREA CODE/PHONE <br /> <br />AREA CODE/PHONE <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 the laws of the State of California that the foregoing is true and correct. <br />Executed on 1-31-2012 By �r <br />Date V 0 Siadature of Treasurer or Assistant Treasurer <br />Executed on 1-31-2012 By ' ' li / <br />Date Signature of Controlling 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 FPPC <br />Date Signature of Controltmg Officeholder, Candidate, State Measure Proponent Form 460 (June/01 <br />) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC <br />State of California <br />