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Recipient Committee COVER PqGE <br /> Type or print in ink. a e amp <br /> campaignStatement RECEiVED •� � ' � <br /> Cover Page <br /> (Government Code Sedions 84200-84216.5) Pa9e � � � 6 <br /> Statement covers period Date of eleetion if pl�cab�e: JAN E 'I YO�Z <br /> from <br /> 10-23-11 (Month, DOy, a�) For Oificial Use Only <br /> CI �OF REDWOOD CITY <br /> SEE INSTRUCTIONS ON REVERSE through 12-31-11 11-8-11 GTY�CLERK <br /> 1. Type of Recipient Committee: an commm�:-comPiete aaro�,z,s,a�e a. 2. Type of Statement: <br /> � �ceholder,Candidate Controiled Committee ❑ Primarily Fortned Balbt Measure � _ Preeledion Statement � quartedy Sfatement <br /> Q State Candidate Eledion Committee Committee � Semi-annual Statement � Special Odd-Year Report <br /> Q Recall Q Controlled Termination Statement <br /> �asoco�,�pereaens� onsored � ❑ SupplementalPreelection <br /> � � (Also file a Form 410 Termination) Statement-Attach Fortn 495 <br /> (AlsoCOntpeleParteJ <br /> ❑ Ge�erel Purpose Committee ❑ Amendment(Explain below) <br /> Q Sponsored � Primarily Fonned Candidate/ <br /> QSmaIlContributorCommittee OfficeholderCommittee <br /> Q Poli6calPaKy/CentraiCommittee fasocom�roaae» <br /> 3. Committee Information �.D. NUMBER Treasurer(s) <br /> 1253171 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> ROSANNE FOUST FOR CITY COUNCIL 2011 RICHARD S. CLAIRE <br /> MAILING AOORESS <br /> SAME <br /> STREET ADDRE55 (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br /> CITY STA1E ZIP CODE AREA CO�E/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> REDWOOD CITY CA 94062 <br /> MAILItJG ADDRESS (IF DIFfERENT) NO.AND STREET OR P.O. BOX MAILING AD�RESS <br /> GTV STATE ZIP CO�E AREA CODE/PHONE CITY STATE ZIP CODE AREA CO�E/PHONE <br /> OPTIONAL: FA%/E-MAII ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS <br /> 4. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of my kn e e th�atio�nta' ed herein and in the attached schedules is true and complete. I certiry <br /> under penatty of pery'ury underthe laws ofthe State of California thal the foregoing is true and wrt j <br /> Executed on / � �� By C <br /> ❑ a MTre wASeiatantTreasurer <br /> Exewted on gy — <br /> e SigietueofCmirdlingOifiwFida ,Centlitlate,5t eMeasurePivponerAaRespwulWeORicerotSponsor <br /> Executed on By <br /> Date SipnalureMCOnlrollirg�cehddx,CsMidete,Stale MeasvaProponenl <br /> Executetl on By <br /> Data SignaWre W Ganhollirg Officehdtlx,Cantlitlate,State Meawe Proparier�t <br /> FPPC Form 460�January/OS) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br /> State of Califomia <br />