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Reci �entCommittee COVERPAGE <br /> Campaign Statement Type or print in ink. R3i,g���� �. � <br /> K ' • � <br /> Cover Page � <br /> (Government Code Sections 84200-84216.5) �AN 3 � 2 ��� <br /> Statement covers period Date of election if applicabie: of <br /> 07/01/2012 (Month, Day, Year) For otfici i use oniy <br /> from CITY OF REDWO D CI'f"Y <br /> SEE INSTRUCTIONS ON REVERSE through <br /> 12/31/2012 CITY CLER <br /> 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,s,and 4. Z. Type of Statement: <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 � Termination Statement � Supplemental Preelection <br /> (AlsoCompfetePart5) Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 <br /> (AlsoCompletePart6) Amendment(Ex lain below <br /> � General Purpose Committee � p � <br /> Q Sponsored � Primarily Formed Candidate! <br /> Q Small Contributor Committee Officeholder Committee �r <br /> Q PotiticalParty/CentralCommittee (aaroCompletePart7) <br /> 3. Committee Information I.D. NUMBER Treasurer(s) I <br /> 1307639 � <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> CITIZENS FOR REDWOOD CITY POLITICAL ACTION COMMITTEE BARBARA J VALLEY <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS (NO P.O. BOX) CITY STqTE ZIP CODE AREA CODEIPHONE <br /> REDWOOD CITY CA 94061 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> REDWOOD CITY CA 94061 <br /> MA�LING 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 CODEIPHONE <br /> REDWOOD CITY CA 94061 <br /> OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX 1 E-MAIL ADDRESS <br /> 4. Verification <br /> I have used all reasonable diligence in prepari�g and reviewing this statement and to the best of my kno dge e information contained herein and in the attached schedules is true and complete. 1 certify <br /> under penalty of perjury underthe laws of the State of California that the foregoing is true and corre <br /> executed on 31 JANUARY 2013 By <br /> Da� S' re of Treasurer or AssistaM Treasurer <br /> Executed on By <br /> Date Signature troUing OfFiceho�er,Candi�te,State Measure Proponent or Responsible Officerof Sponsor <br /> Executed on By <br /> p�e Signature ot CoMrolling OfficehokJer,Candidate,State PAeasure Proponent <br /> Executed on By <br /> Date Signature of Controtling Officeholder,Candidate,State Measure Proponent FPPC Form 460(JBnuary/O5) <br /> FPPC Toll-Free Helpline:866lASK-FPPC(866I275-3772) <br /> State of California <br />