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Recipient Committee JER PAGE <br /> Type or print in ink. � �� � <br /> Campaig g Statement E C�I V E D •' � � � <br /> Cover Pa e <br /> (Govemment Code Sections 84200-84216.5) ge � of 4 <br /> Statement covers perlod Date of election If pilcable: JAN �O �O�A <br /> from <br /> 7/1/13 (Month, Day, ar) � `� For OHidai Use Onty <br /> 12/31/13 C OF REDWOOD CITY <br /> SEE INSTRUCTIONS ON REVERSE through CITY CLERK <br /> 1. Type of Recipient Committee: Atl Committeea—Complete PaRS 1,z,s,and 4. 2. Type of Statement: <br /> � Officeholder,Candidate Controlied Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement � Quartedy Statement <br /> Q State Candidate Election Committee Committee � Semi-annual Statement � Speciai Odd-Year Report <br /> O Recall Q Controlled <br /> (AlsoComplafePaR5) Q Sponsored ❑ TerminationStatement ❑ SupplemerrialPreetection <br /> (Also file a Form 410 Termination) Statement-Attach Form 495 <br /> (aso compere Pan s) <br /> ❑ Genera!Purpose Committee ❑ Amendment(Explain belowj <br /> Q Sponsored � Primarily Formed Candidate/ <br /> Q SmaN Contributor Committee Officeholder Committee <br /> Q Political Party/Centrai Committee (arso comaere Parr i� <br /> 3. Committee Information �.D. NUMBER Treasurer(sj <br /> 1253171 <br /> COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMI7TEE) 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) CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> REDWOOD CITY CA 94062 <br /> MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE CiTY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX/E-MAtL ADpRESS 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 m knowiedge e information contained herein and in the attached schedules is true and complete. I certify <br /> under penalty of perjury under the laws of the State of Califomia that the foregoing is true and <br /> ��8�� � <br /> Executed on� gy � <br /> �° Signetureot asurer AssistentTreesurer <br /> Executed on ' —�� � '� By � � <br /> �� Sipnatwe ofCoMtdGng Officetwldar,Candidate,Stete Measure Proponent aResponside OPfl�ot Sponsof <br /> Executed on gy <br /> �� Sipnalure ofCor�4o9in9 ORcaholdar,Candidata,Stele Measure Proponent <br /> Executed on gy <br /> Date Signature of Conbdling Officehoider,Candidate,State Measure Proponent FPPC Form 460(January/O5) <br /> FPPC ToII-Free Helpline:866/ASK-FPPC(866i275-3772) <br /> State of Califomia <br />