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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 />Type or print in Ink. <br />Statement covers period <br />from January 1, 2012 <br />through June 30, 2012 <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br />❑ Officeholder, Candidate Controlled Committee ® Primarily Formed Ballot Measure <br />Q State Candidate Election Committee Committee <br />Q Recall O Controlled <br />(Also Complete Part 5) Q Sponsored <br />(Also Complete Part 6) <br />❑ General Purpose Committee <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 I.D. NUMBER <br />1340190 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Redwood City Residents to Protect City Services <br />STREET ADDRESS (NO P.O. BOX) <br /> <br />CITY STATE ZIP CODE AREA CODE /PHONE <br />Redwood City CA 94062 <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY STATE ZIP CODE AREA CODE /PHONE <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 k <br />under penalty of perjury under the laws of the State of California that the foregoing is tale and correct. <br />Executed on July 23, 2012 <br />Date <br />Executed on July 23,2012 <br />Date <br />Executed on <br />Date <br />Executed on <br />Date <br />By <br />By <br />COVER PAGE <br />Date of election if applicable: j l 7 2012 Page _ � I-- of <br />�� t <br />(Month, Day, Year) For' Official Use Only <br />November 8, 2011 <br />2. Type of Statement: <br />❑ Preelection Statement ❑ Quarterly Statement <br />® Semi - annual Statement ❑ Special Odd -Year Report <br />❑ Termination Statement ❑ Supplemental Preelection <br />(Also file a Form 410 Termination) Statement - Attach Form 495 <br />❑ Amendment (Explain below) <br />Treasurer(s) <br />NAME OF TREASURER <br />Nancy Radcliffe <br />MAILING ADDRESS <br /> <br />CITY STATE ZIP CODE AREA CODE /PHONE <br />Redwood City CA 94062 <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE /PHONE <br />OPTIONAL: FAX / E -MAIL ADDRESS <br />in and in the attached schedules is true and complete. 1 certify <br />By <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />By <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) <br />FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275.3772) <br />State of California <br />