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Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200- 64216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />Type or print In Ink. <br />Statement covers period <br />from January 1, 2016 <br />through <br />Date of election if appll <br />(Month, Day, Year) <br />June 30, 2016 I November 8, 201 <br />1. Type of Recipient Committee: AN Commitim — Complete Parts 1, 2, S, and 4. <br />❑ Officeholder, Candidate Controlled Committee <br />m Primarily Formed Ballot Measure <br />0 State Candidate Election Committee <br />Committee <br />0 Recall <br />0 Controlled <br />(Aft Comp/sro Pad 5) <br />0 Sponsored <br />WNICompstaPxte) <br />❑ General Purpose Committee <br />0 Sponsored <br />Primarily Formed Foed Candidate/ <br />0 Small Contributor Committee <br />Officeholder Committee <br />0 Political Party /Central Committee <br />(AIWOmnp1sI° Pan 7) <br />3. Committee Information <br />I.D. NUMBER <br />412An4e„ <br />Redwood City Residents to Protect City Services <br />STREET ADDRESS (NO P.O. BOX) <br /> <br />CITY STATE ZIP CODE AREA CODEIPHONE <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 truq and correct. <br />Executed on July 22, 2016 <br />oar <br />Executed on July 22, 2016 <br />Dale <br />Executed on <br />Executed on <br />Dale <br />By <br />By <br />Date Stamp <br />JUL 2 9 2016 <br />2. Type of Statem to : <br />❑ Preelection Statement <br />1Z Semi - annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />et Redwood City <br />City Clerk <br />Page 1 of 3 <br />Fol Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />❑ Supplemental Preelection <br />Statement - Attach Form 495 <br />Treasurer(s) <br />NAME OF TREASURER <br />Nancy Radcliffe <br />MAILING ADDRESS <br /> <br />CITY STATE ZIP CODE AREA CODEIPHONE <br />Redwood City CA 94062 <br />ME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE /PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />contained hereinAnA in the attached schedules is true and complete. I certify <br />By <br />lOrAhn 0fCcrft*VOMceWftr, Camllftts, Stale MsaeurePmponaM <br />ey <br />gnmWeor ,Canddde,Sbeo Menwe Pioponant FPPC Form 460 (January108) <br />FPPC To*fine HelpiMe: 888/ASK -FP1PC (8801278-3772) <br />State of California <br />