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Reci ient Committee covERPa�E <br /> p Type or print in ink. Date Stamp �_ <br /> Campaign Statement � � • 1 <br /> Cover Page ��Y <br /> (Government Code Sections 84200-84216.5) R EC E I V E page of� <br /> Statement covers period Date of election if applicabl <br /> July 1, 2015 (Month, Day,Year) Fo� �cial Use o�iy <br /> from JAN 2 5 2016 <br /> SEE INSTRUCTIONS ON REVERSE th�0ugh December 31, 2015 11/5/2013 <br /> Cit of Redwood Ci <br /> 1. Type of Recipient Committee: Au commrtceeg-compiete aa��,z,a,ana a. 2. Type of Statement: city cie�k <br /> � Officeholder,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 /> � Recall Q Controlled Termination Statement <br /> ❑ ❑ Supplemental Preelection <br /> (AlsoCompletePaR5) Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 <br /> (Also Complete Part 6) <br /> ❑ General Purpose Committee ❑ Amendment(Explain below) <br /> Q Sponsored � Primarily Formed Candidate/ <br /> Q Small Contributor Committee Officeholder Committee <br /> � Political Party/Central Committee (A�soCompletePart7) <br /> 3. Committee Information I.D. NUMBER Treasurer(s) <br /> 1315847 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Re-Elect Gee for Council 2013 Jeff Gee <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94065 650-483-7412 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> Redwood City CA 94065 650-483-7412 <br /> MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS <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 /> jeff@jeffgee.org <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 con�i`ed 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 an� � --— ' � <br /> Executed on �anuary 25, 2016 BY � ' <br /> Date gn reasur AssistantTreas er "--�.:, <br /> January 25, 2016 .� � '� ' <br /> Executed on By � <br /> Date Signatureof IlingOffceh r, ndidate, �asimePro�anentorResponsibleOfficerofSpon <br /> Executed on By <br /> Date Signature of Controlling Officehdder,Candidate,State Measure Proponent <br /> Executed on By <br /> Date SignatureofControllingOfficeholder,Candidate,5tateMeasureProponent FPPC Fortn 460(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br /> State of California <br />