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RECEIVED <br /> • <br /> Recipient Committee FEB 14 2011 COVER PAGE <br /> p Type or print in ink. Date Stamp <br /> Campaign Statement CALIFORNIA 460 <br /> Cover Page CITY OF REDWOOD CITY 2001/02 <br /> FORM <br /> (Government Code Sections 8420044216.5) CITY CLERK <br /> Statement covers period Date of election if applicable: 1 3 <br /> from 07/01/10 <br /> (Month, Day, Year) Page of <br /> For Official Use Only <br /> SEE INSTRUCTIONS ON REVERSE through 12/31/10 <br /> 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: <br /> ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee ❑ Preelection Statement ❑ Quarterly Statement <br /> Q State Candidate Election Committee 0 Primarily Formed ,,;reelection <br /> Statement ❑ Special Odd -Year Report <br /> Q Recall 0 Controlled EKTermination Statement <br /> (Also Complete Part S) 0 Sponsored ❑ Supplemental Preelection <br /> (Also Part 6) <br /> ❑ Amendment (Explain below) Statement - Attach Form 495 <br /> ❑ General Purpose Committee <br /> Q Sponsored ❑ Primarily Formed Candidate/ <br /> Q Small Contributor Committee Officeholder Committee <br /> Q Political Party /Central Committee (Also Complete Part 7) <br /> 3. Committee Information I NUMBER 970913 Treasurer(s) <br /> COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Friends of Jeff Ira Jeffrey Ira <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE <br /> Redwood City, CA 94065 <br /> CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> Redwood City CA 94065 <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 -MAIL 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 knowledge the information contained herein and in the attached schedules is true and complete. 1 <br /> certify under penalty of perjury under the laws of the State of Califomia that the foregoing is true and correct. <br /> Executed on 02/08/11 By <br /> Date Sign reofT r or Assistant Treasurer <br /> Executed on By <br /> Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor <br /> Executed on By <br /> Date Signature of Controlling Officeholder, Candidate, State Measure Proponent <br /> Executed on By June /01 460 <br /> Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC F ( ) <br /> FPPC Toll -Free Helpline: 866 /ASK -FPPC <br /> State of Califomia <br />