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Recipient Committee-. .......za.-� COVERPAGE <br />Type or print in <br />ink. a" Date Stamp <br />Campaign Statement <br />=CALIFORNIA <br />Cover Page <br />FOPM <br />(Government Code Sections 84200-84216.5) <br />Page g <br />Statement covers period <br />Date of election if applicable: r�.�.L. 4Z'5113 of <br />T <br />09/22/2013 <br />(Month, Day, Year) For Official Use Only <br />from <br />10/19/2013 <br />11/05/2013 <br />SEE INSTRUCTIONS ON REVERSEthrough <br />1. Type of Recipient Committee: An Committees - Complete Parts 1, 2, 3, and 4. <br />2. Type of Statement: <br />holder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure <br />® Preelection Statement ❑ Quarterly Statement <br />Q State Candidate Election Committee Committee <br />❑ Semi-annual Statement ❑ Special Odd -Year Report <br />Q Recall Q Controlled <br />❑ Termination Statement ❑ Supplemental Preelection <br />(Also Complete Part S) Q Sponsored <br />(Also file a Form 410 Termination ) Statement - Attach Form 495 <br />(Also Complete Part 6) <br />F-1GeneralPurpose Committee <br />❑ Amendment (Explain below) <br />Q Sponsored Primarily Formed Candidate/ <br />Q Small Contributor Committee Officeholder Committee <br />Q Political Party/Central Committee (Also Complete Part 7) <br />3. Committee Information <br />I I.D. NUMBER <br />Treasurer(s) <br />1357417 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />NAME OF TREASURER <br />Diane Howard for Redwood City Council 2013 <br />Jeffrey Ira <br />MAILING ADDRESS <br />333 Twin Dolphin Dr, St 230 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br />Redwood City, CA 94062 650-802-8668 <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Redwood City, CA 94062 <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <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 certify <br />under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />Executed C / <br />on By <br />Date/ / <br />Q'4'•Signature <br />AL) ' S' <br />Executed on /n ( � gy <br />�atua;"rorAssistanlTreasurer <br />of Controlling <br />Offifehotde,,Measure Proponent or Responsible Officer of Sponsor <br />Executed on By <br />Date <br />Signature of Controlling Officeholder, Candidate. Slate MeasureProponent <br />Executed on By <br />Date <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (January/OS) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) <br />State of California <br />