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COVERPAGE <br /> " ReCipient Committee Type o� print in Ink. , �D�e Stamp �_ <br /> Campaign Statement � ;���,�_y��f�� .- ' • 1 <br /> CoverPage <br /> (Govemment Cotle Sec[ions 84200.84216.5) Statement covers period Date of elecdon H applleable: O C T 2 � ZO�� P?9e� 1 � 9 <br /> 9-25-11 (MOnth, Day, vear) For Offcial Use Only <br /> rrom ci�vc�r:rD4V"' � <br /> �OD CITY <br /> SEE INSTRUCl10NS ON REVERSE th�oUgh �0-22-�� �1-�$-�� CITY CIEP,'(. <br /> 1. Type of Reciplent Committee: nn comminees-comae�e aans�,x,s,a�a a. 2. Type of Statement: <br /> � Officeholder,Canditlate 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 � TertninationStatemerrt ❑ SupplemeMalPreeledion <br /> (AboWmpkbPortS) 0 Sponsored (Also fle a Form 4'10 Termination) Statement-Attach Form 495 <br /> (AboCanpktaPert6) <br /> . ❑ General Purpose Committee ❑ Amendment(Explain below) <br /> Q Sponsored � PrimarilyFormedCandidateJ <br /> QSmaIlContributorCommittee O�cehokJerCommikee <br /> Q PoltticalPartylCenValCommittee �A��P�� <br /> 3. Committee Information �.D. NUMBER Treasurer(s) <br /> 1253171 <br /> CAMMfiTEE NAME(OR CANDIDATE'S NAME IF NO CAMMITTEE) NAME OF TREASURER <br /> ROSANNE FOUST FOR CITY COUNCIL 2011 RICHARD S. CLAIRE <br /> MAILING ADDRESS <br /> SAME <br /> STREET ADDRESS (NO P.O. BOX) CITV STATE Z!P CADE AREA CODE/PHONE <br /> <br /> CITV �TATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANV <br /> REDWOOD CITY CA 94062 <br /> MAILING ADORESS (IF OIFFERENI� NO.AND STREET OR P.O. BO% . MAILING ADDRESS <br /> CITV STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FA%/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS <br /> 4. Verificatlon <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best ot my knowledgethe infortnation contained herein and in the attached schedules istrue and complete. I certify <br /> under penatty of perjury underthe laws ofthe State of Cal'rfornia thatthe foregoing istrue and corr <br /> �e�uted o� 10-26-11 B � • <br /> Dme Y Spne r urmar IT�msurer <br /> j0 ��-I��11 <br /> Executedon D�o BY spiuwred mAlnp aNx.Cen ' .smmhteesue orReepombleorticerdspomnr <br /> Executedon ome BY sq�m�rea��mowreonqawue�,cenddere,smam�wrea�w�m <br /> F�(eculedon oe�e gy 54�ureaCOnwltn8ommndder.Cenaidem,SlmeM�su�ePmw�en <br /> FPPC Fortn 460(JanuarylOb) <br /> FPPC Toll•Free Nelpline:BBBIASKFGPC(888127b-S77P) <br /> � State ot Calltomla <br />