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' Recipient Committee <br /> Campaign Statement <br /> (Government Code Sections 84200-64216.5) <br /> SEE INSTRUC710NS ON REVERSE <br /> Type or print in ink. <br /> Statemeat covers period <br /> trom�// /��n <br /> 1. Type of Recipient Committee: au commmee5-comPie�e PartS�,z,a,and 7 <br /> ajj Officeholder, Candidate ❑ Primarily Formed Candidale/ <br /> Controlled Committee O�ceholder Committee <br /> (Also Complete Part 4.) (Also Complefe Part6.J <br /> ❑ Ballot Measure Committee ❑ General Purpose Committee <br /> Q Primarily Formed � Sponsored <br /> Q Controlled Q Broad Based <br /> Q Sponsored <br /> �(ABO Complete Part 5.) <br /> 3. Committee Information <br /> COF4AffTEE NAME <br /> I.D.NUMBER <br /> 9g1! " <br /> L' or,�m�i�e-e. � E��c% /j��v��-rw �ierc.� <br /> STREETADDRESS(NOP.O.BOX) <br /> / <br /> CITY STATE ZIPCODE <br /> �-���� <br /> MAILING ADDRESS(IF DIFFEREN'�NO.AND STREET OR P.O.BOX <br /> an <br /> OPTIONAL: FAX/E-MAILADDRESS <br /> AREACODE/PHONE <br /> Date of election if appli <br /> (Month,Day,Year) <br /> DaleSlamp � _ , <br /> • <br /> . - <br /> � � '" � " � Pa9e� of 5� <br /> JAN 3 1 2001 ForOffnialUseOnly <br /> CIN OF REDWOOD CITY <br /> 2. Type of Statement: <br /> ❑ Pre-election Statement <br /> � Semi-annual Statement <br /> ❑ Termination Statement <br /> ❑ Amendment(Explain below) <br /> ❑ Quarterly Statement <br /> ❑ Special Odd-Year Report <br /> ❑ Supplemental Pre-elecGon <br /> Statement-Attach Form 495 <br /> Treasurer(s) <br /> NAMEOFTREASURER <br /> �, �l��KD l��Jr/st�fer <br /> MAILMGADDRESS <br /> . <br /> CITY � STATE <br /> /C�K cJ�G$, �,i�f � � <br /> NAMEOFASSISTANTTREASURE�ANY <br /> i�s � ,�ll�e L �Je 1 � <br /> MAILINGADDRESS <br /> <br /> o�N n� STATE <br /> K �[� u-�JpQ� �-t , �"/ C� <br /> OPTIONAL: FAX/E-MHILADDRESS <br /> AREACODEIPHONE <br /> �� <br /> ��� <br /> FPPC Form 460(8199) <br /> For Technical Assistance: 9161322-5660 <br /> State of Califomia <br />