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ry' <br /> Recipient Committee T COVER PAGE <br /> Cam al n Statement ype or print in ink. � Date Sta p <br /> p 9 ������.� � � ' e 1 <br /> Cover Page <br /> (Govemmen[Code Sections 84200-&4216.5) 9 I 1 3 <br /> Statement covers period Date of election iT applicable: ,JUL 2 S ZO�� Pa e of <br /> from <br /> 1/1/11 (Montn, oay, vear) F Offdal Use o�y <br /> - CITY OF REDWOOD CIl'! <br /> SEEINSTRUCTIONSON REVERSE thfough 6/30/11 CITY CLERK <br /> 1. Type of Recipient Committee: an comm�naas-comPi�ee aa,��,z,a,a�a a. Z. Type of Statement: <br /> � Otficeholder,Candidate Controlled Committee � Primarily Fortned Ballot Measure ❑ Preelection Statement � puarterly Statement <br /> Q State Cantlidate Election Committee Committee �Semi-annual Statement � Special Odd-Year Report <br /> Q Recall Q ConV011ed � Termination Statement � Supplemen[al Preelection <br /> (AlsoComplefePartS) � Sponsored � Also file a Form 410 Termina[ion <br /> (AlmCompeteParts) ( � Statement-Attach Fortn 495 <br /> ❑ General Purpose Committee ❑ Amendment(Explain below) <br /> Q Sponsored � Primarily Fortned Candidate/ <br /> QSmaIlContributorCommittee OffceholderCommittee <br /> QPoliticalParty/CenValCommittee P�1soCOmpleteParcl) <br /> 3. Committee Information �.D. NUMBER Treasurer(s) <br /> 1313693 <br /> COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> ROSANNE FOUST FOR CITY COUNCIL RICHARD S. CLAIRE <br /> MAILING ADDRESS <br /> SAME <br /> STREET ADDRE55 (NO P.O. BO%) CITV STATE 21P CODE AREA CODE/PHONE <br /> <br /> CITY STATE ZIP CODE AREA CO�E/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> REDWOOD CITY CA 9406C <br /> MAILING AODRESS (IF DIFFERENT) NO.AND STftEET OR P.O. BOX MAILING ADDRE55 <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITV STATE ZIP CODE AREA COOE/PHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRE55 <br /> 4. Verification <br /> I have usetl all reasonable tliligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is irue and complete. I certify <br /> untlerpenaltyofperjuryunderthelawsoflhe5lateofCalifomiathaltheforegoingisUueand � e <br /> Executed on 7/19/11 BY �� � � <br /> �d�B WreofTreasu orASSistanlTreasu2r <br /> Execuled on I I By <br /> Oate SiB��+�e otCOnimllinB��hdtler,CantliJata,State MeasurePmponentwResponsiblaOfficerof5ponwr <br /> Executetl on By <br /> Dale SigneWre ofConholling Otficeholtleq CantliEate,State Meewre Pmprnent <br /> Exewtetl on By <br /> Da�e SiBnaNrea/Con4olling Otfi�holtlaq CanEidale,S�ate Measure Proponent <br /> FPPC Fortn 460�January/05� <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-1772) <br /> State of California <br />