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COVER PAGE <br />Recipient Committee Type or print in ink. Date Stamp <br />Campaign Statement FORM • <br />Cover Page <br />(Government Code Sections 84200-84216.5) Page 1 of 3 <br />Statement covers period Date of election if applicable: l) r T 1. :! � - <br />from <br />7/1/15 (Month, Day, Year) For Official Use Only <br />SEE INSTRUCTIONS ON REVERSE through 9/19/15 11/3/15 <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 />O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd -Year Report <br />O Recall O Controlled ❑ Termination Statement ❑ Supplemental Preelection <br />(Also Complete Part 5) O Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495 <br />General Purpose Committee (Also Complete Part 6) Amendment (Explain below) <br />❑ <br />O Sponsored ❑ Primarily Formed Candidate/ Failed to subtract line 15 from 12 & 13 on current cash statement <br />O Small Contributor Committee Officeholder Committee <br />O Political Party/Central Committee (Also Complete Part 7) section, resulting in wrong ending cash balance number. <br />3. Committee Information I.D. NUMBER Treasurer(s) <br />1276471 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br />Friends to re-elect Alicia Aguirre for City Council 2015 Jeffrey 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 94062 <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 />10/18/15 / <br />Executed on By <br />Date fl�re�4p <br />Executed on 10/18/15 ByV�Agnttre <br />Date Signature ofControlling ¢fficeholder, Candidateonsible Officer of Sponsor <br />Executed on By 1 <br />Date Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />Executed on By <br />Date Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (January/05) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) <br />State of California <br />