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COVER PAGE <br /> Recipient Commit�e Type or print in ink. Date stamp <br /> Campaign Statement ' •" ' . � � <br /> Cover Page <br /> RECEIVED �� <br /> (Government Code Sections 84200-84216.5) pag� � of 3 <br /> Statement covers period Date of election if appli able: <br /> from <br /> 7/118112 (Month, Day,Year) �AN 2 g 2013 For Official Use Only <br /> SEE INSTRUCTIONS ON REVERSE 12/31/12'/2 11/8/11 CITY OF REDWOOD CITY <br /> through <br /> 1. Type of Reoipient Committee: A��comm�ttees-comP�ete Parts t,2,a,a�d a. 2. Type of Statem . <br /> � Officehoider,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement � Quarterly Statement <br /> Q State Candidate Election Committee Committee � Semi-annual Statement � Special Odd-Year Report <br /> Q Recall Q Controlled <br /> (AlsoCompletePartSJ ❑ TerminationStatement � SupplementalPreeleetion <br /> Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 <br /> (aso complete Part s) <br /> ❑ General Purpose Committee ❑ Amendment(F�cplain below) <br /> Q Sponsored � Primarily Formed Candidate/ <br /> Q Small Contributor Committee Officeholder Committee <br /> Q PoliticalParty/CentralCommittee (AlsoCompletePart7J <br /> 3. Committee Information I.D. NUMBER Treasurer(s) <br /> 1255762 <br /> COMMITfEE NAME(OR CANDIOATE'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) CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94063 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> Redwood City CA 94061 <br /> MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING AODRESS <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 tn�e and complete. I certify <br /> under penalty of perjury under the laws of the State of Califomia that the foregoing is true and correct. �. _ <br /> Executed on 1/26/13 B <br /> � y Si natureMT surerorAssistantTreaaurer <br /> Executea on 1/26/13 �.,��_ <br /> � By Signature of Conholpng OfficehokJer,CandMate,State Measure Proponent w Rasponaible Olficar of Sponsor <br /> Executed on gy <br /> � Signedre of Con6olling Omceholder,Cendidate,S1ate Meesure Proponant <br /> Executed on gy <br /> � SignetureofComrollingotf�holder,Canadate,SmteMeasureP�oponent FPPC Fortn 460(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) <br /> State of California <br />