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Reci ient Committee COVER PAGE <br /> p Type or print in ink. Date Stamp <br /> Campaign Statement ' � ' � � � <br /> Cover Page ' <br /> (Govemment Code Sections 84200-84216.5) page � of � <br /> Statement covers period Date of election if applicable: <br /> from <br /> 9/19/2015 (Month, Day,Year) For otticia� use on�y <br /> SEE INSTRUCTIONS ON REVERSE through 10/21/2015 11/3/2�15 <br /> 1. Type of Recipient Committee: au commnc�s-compi�ce Pa��,s,s,and 4. 2. Type of Statement: <br /> � Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure � Preelection Statement ❑ G2uarteriy Statement <br /> Q State Candidate Election Committee Committee ❑ Semi-annual Statement � Speciai Odd-Year Report <br /> Q Recall Q Controlled <br /> (AlsoCompletePartS) S onsored ❑ TerminationStatement ❑ SupplementalPreelection <br /> � p (Also file a Form 410 Termination) Statement-Attach Form 495 <br /> (Also Complete PaR 6) <br /> ❑ General Purpose Committee � Amendment(Explain below) <br /> Q Sponsored � Primarily Formed Candidate/ Year to date expenditures were omitted from the originai report. <br /> Q Small Contributor Committee Officeholder Committee <br /> Q Political Party/Central Committee (AlsoCompletePart7) See Summary Campaign Statement on page 3. <br /> 3. Committee Information I.D. NUMBER Treasurer(s) <br /> 1379344 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Elect Tania Sole for Council Member 2015 Julie Partdini <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS (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 94063 Orlene Chartain CPA <br /> MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94063 <br /> OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS <br /> <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 true and complete. I certify <br /> under penalty of perjury under the laws of the State of California that the foregoing is true an rrect. <br /> Executed on 11/02/2015 By (✓/C �'' l,�-t„�J C/7� <br /> Date Signa of suryrorAssistantTreasure� <br /> 11/02/2015 ,: ;-� .. �.... .� ��- ' <br /> Executed on ���-�"�- <br /> Dale '�'�J�� Signature ofControlling Otfi der,Candidate,State Measure Proponentor ResponsiWe OfficerofSponsor <br /> Executed on gy ' • <br /> Dale Signature ofControlling Officeholder,CandiAate,State Measure Pmponent <br /> F�cecuted on By <br /> Date SignaWreofConV'ollingOlficeholder,Candidate,StateMeasureProponent FPPC Form 460(January105) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) <br /> State of California <br />