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Statement of Organization Date Stamp CALIFORNIA 410 <br /> Recipient Committee f tux-ale p R p,�v� ofi seams 1=n R M <br /> Statement Type 0 initial t��+�, ®cretaN <br /> ® Amendment ❑ Termination—See Part 5 f tc. o1 the vllornr- ®5 NY/ <br /> List I.D.number: List I.D.number: tri'�11e 0 1C� #,.a�.e 01 C� (RZ il' <br /> Not yet qualified❑ or <br /> #th <br /> #1313963 # KSJ 7 2(113 <br /> ,��, + .3 �e JUN 0 4 2013 <br /> Date qualified as committee Date qualified as committee Date of Termination (y atPi CITY OF REDWOOD CITY <br /> (If applicable) iCeOetary w ) pm/ri mni/ <br /> 1. Committee Information 2. Treasurer and Ot ler Principal Officers <br /> NAME OF COMMITTEE NAME OF TREASURER <br /> John Seybert for Redwood City Council 2013 Richard Claire <br /> STREET ADDRESS(NO P.O.BOX) STREET ADDRESS(NO P.O.BOX) <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94062 ( Redwood City CA 94062 ( <br /> MAILING ADDRESS(IF DIFFERENT) NAME OF ASSISTANT TREASURER,IF ANY <br /> Redwood Cit , CA94062 <br /> FAX/E-MAIL ADDRESS STREET ADDRESS(NO P.O.BOX) <br /> <br /> COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE ZIP CODE AREA CODE/PHONE <br /> San Mateo <br /> NAME OF PRINCIPAL OFFICER(S) <br /> STREET ADDRESS(NO P.O.BOX) <br /> Attach additional Information on appropriately labeled continuation sheets. <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> 3. Verification <br /> I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein Is true and complete. I certify under <br /> penalty of perjuryy under/hhe laws of the State of Califo • .t th- r. :;_t l• rue and correct. <br /> Executed on �7", ,C�7 By 9 / - -- <br /> Executed on Ir // By �jURE OF VW";ASSISTAN . . ER <br /> arE __i i., A, <br /> 111111111 NATO E OF CONTROLLIN•( FFI, H A;ER,C DIDATE,OR STATE MEASURE PROPONENT <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> FPPC Form 410(Dec/2012) <br /> FPPC Advice:advice@fppc.ca.gov(866/275.3772) <br /> www.fppc.ca.gov <br />