Laserfiche WebLink
Recipient Committee COVER PAGE <br /> Type or print in ink. Dete Stamp <br /> CampaignStatement •' ' . � � <br /> coverPage REC�IVE <br /> (Government Code Sections 84200-84276.5) Page � of 4 <br /> Statement covero period Date of election if applic le: <br /> from <br /> 10123l11 (MOnth, Dey,Year) JAN 3 1 2012 F r Offcial Use Only <br /> 12/31/11 ��TYOF REDWOOD CI <br /> � <br /> SEE INSTRUCTIONS ON REVERSE through � '� I�I <br /> 1. Type of Recipie�t Committee: nn comm�e�as-comP�.r.rrs�,z,s,e�d a. 2, Type of Statement: <br /> � Officeholder,Candidate Controlled Committee ❑ Pnmarily Formed Baliot Measure ❑ Preelection Statement � Quarterly Statement <br /> Q State Candidate Election Committee Committee � Semi-annual Slatement � Special Odd-Year Report <br /> Q Recall Q Conlrolled <br /> (AlsoCOmpletaPartS) Q Sponsored ❑ TertninationSlatement � SupplementalPreeledion <br /> (Also flle a Fortn 410 Tertnination) Statement-Attach Form 495 <br /> (NSOCanp'efePort6) <br /> ❑ General Purpose Commiqee ❑ Amendment(Explain below) <br /> Q Sponsored � Primarily Formed Candidate/ <br /> Q Small Contributor Committee Officeholder Commitlee <br /> Q PoliticalParty/CentralCommittee (A�aroCOmpbhPart7) <br /> 3. Committee Information I.D. NUMBER Treasurer(s) <br /> 1255762 <br /> COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> lan Bain for City Council 2011 Lorianna Kastrop <br /> MAILING ADDRESS <br /> <br /> STREETADDRESS (NO P.O. BOX) CITV STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 9406� <br /> CITV STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISiANT TREASURER, IF ANV � <br /> Redwood City CA 94061 <br /> MAILING ADDRE55 (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS <br /> CITV STA1E ZIP CODE AREA CODE/PHONE CITV 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 informa'on copteined herein and in ihe adached schedules is true and complete. I certiy <br /> under penaly oi perjury underthe laws of the Sfate of Cal'rfomia that the foregoing is true and covect. . <br /> ����o� _ '�, . 3�'1 Lviz B <br /> Y <br /> 1 -7 Slp ofTreaeurer AseisfeMTreasurer <br /> Fxecutedon �J"+� � �l7 �� L � , � <br /> � ignetun of CoiNVIlmg OlfiwMkx,Canaltlete,51eb Meaeuie PmponanlorRaspanai�b Olfiuraf5pofuor <br /> Fxecuted on BY <br /> � Sgreh+e of ConbdlirpOlficelalGar,Car�ate,SIeM Meawre ProponeM <br /> 6cecWed on By <br /> �� SigreWe WCOntrulNrgOMrceMltlm,Cer�dtlele,S�eta Meesua Praponent <br /> FPPC Form 460(Jenuary/O6) <br /> FPPC ToIlFree Helpline:868/ASK�PPC(868275J7I2) <br /> Stete of Celffomta <br />