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. � <br /> Recipient Committee COVER PAGE <br /> Co ep age��ment Type or print in ink. � ��' ate Stam� � •,_ � , . ' <br /> � <br /> (Government Code Sections 84200-84216.5) <br /> Statement covers period Date oT election f applicabie. N 2 9 ZO�3 Pa9e � of 3 <br /> 7/1/12 (Month, Da , Year) � For Official Use Only <br /> from CITY F REDWOOD CITY <br /> SEE INSTRUCTIONS ON REVERSE through 12/31/12 ITY CLERK <br /> 1. Type of Recipient Committee: AH Committees—Complete Parts 1,s,3,and 4. 2. Type of Statement: <br /> � Officeholder,Candidate Controlled Committee � Primarily Formed Ballot Measure ❑ Preelection Statement <br /> Q State Candidate Election Committee Committee ❑ Quarterly Statement <br /> Q Recall � Semi-annual Statement <br /> Q Controlled ❑ 5pecial Odd-Year Report <br /> (AlsoCompletePartSJ S onsored ❑ TerminationStatement <br /> � p ❑ Supplemental Preelection <br /> �aisocomp�rePens� (Also file a Form 410 Termination) Statement-Attach Form 495 <br /> ❑ General Purpose Committee ❑ Amendment(Explain below) <br /> Q Sponsored � Primarity Formed Candidate/ <br /> Q Small Contributor Committee Officeholder Committee <br /> Q Political Party/Central Committee (AisoCompletePart7J <br /> 3. Committee Information I.D. NUMBER <br /> 1253171 Treasurer(s) <br /> COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMM�TTEE) NAME OF TREASURER <br /> ROSANNE FOUST FOR CITY COUNCIL 2011 RICHARD S. CLAIRE <br /> MAILING ADDRESS <br /> SAME <br /> STREETADDRESS (NO P.O. 80X) CITY <br /> STATE ZIP CODE AREA CODE/PHONE <br /> CITY STATE ZIP CODE <br /> <br /> MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE C�TY <br /> STATE ZIP CODE AREA CODE(PHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS <br /> OPTIONAL: FAX/E-MAIL ADDRESS <br /> 4. Veri�ication <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of m knowledge the information ontained herein and in the attached schedules is true and compiete. i certify <br /> under penalty of perjury under the laws ofthe State of California thatthe foregoing is true an . <br /> Executed on ��/� ` <br /> � BY � � <br /> �r �� � I � � ture of Treasurer rAssistant Treasurer <br /> Executed on__ By <br /> �e S'natureofContro@ing0%'�ceho r,Candidate,StateMaasureProponentorResponsibleOflicarofSponsor <br /> Executed on BY <br /> � Sgnature of Conhotling OfFiceholder,Candidate,State Nleasure Proponant <br /> Executed on BY <br /> �� S gnature of CoMroRing Officeholder,Candidate,State Measure Proponent <br /> FPPC Form 460(January/05) <br /> FPPC Toll-Pree Helpline:8661ASK-FPPC(8661275-3T72) <br /> State of California <br />