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�.�.........�r.. _ <br /> Recipient Gommittee c°"E�P�`'E <br /> Type or print in ink. - a e ama i � <br /> Campaign Statement ������� • !''�y . . <br /> Cover Page <br /> �� <br /> (Govemment Cade Sections 84200-84216.5> <br /> Statement covera psriod Date of elettion (f ap licabie: ���a 3 Q z��� � q <br /> (Month,Day,Ye ) P$ of,.___�._. <br /> from �/�/1� For Q!ficiai Lse Onty <br /> ITY OF R�DWOOD CITY <br /> SEE INSTRUCTION&ON REVERSE through � &13dt14 � <br /> CITY CLERK <br /> 1. Type af Recipient Comtnittee: AN Commiftees-CampFete Parts t,z,a,and 4. 2. Type of Statement: <br /> � Offrceholder.Candidate Controlled Committee [rv} 8ailok Measure Committee `! Preeiectinn Statement � �uarterty 5tatement <br /> �S1ate Candidaie E�ect'ro�Committee (�Primafliy Fprrned !X� Semi-annual Statement (� Speciai Odd-Year Repart <br /> `} Recall ;'� Caniroiled '—; Termination Statement <br /> ;,ti'mGom�'efepne5; (� Sponsored _ � Supplementatt�reelection <br /> �:.r��ccN+:u��mvr�,c� � ��dment(Explain betow) Statement-Atiach Form 495 <br /> ;W] General Purpase Committee <br /> �; Sponsored � Primarify Formed Candidate� ---------- <br /> f;?Smafl CaniributorCommitfee Officeholder Committee � � � <br /> ;�Potitacal Parky�Gentral Cammittee ,nr���,�..»,.,,...r�fln,:>; <br /> 3. Cammittee Information +o. Nuaa��a Treasurer(s) <br /> 990750 <br /> C{3M"AIT?EE NA�AE r{}��AyDIDA7�"S NAME IF NO COh14,itTTEES NAME OF TREASURER <br /> Barbaca Pierce for Gity Counci! DanieAe�. De!Carip <br /> A+AILtNG A40RESS <br /> <br /> STREET qp6RESS tNa P.O.BOXy CtTY 5tATF LIP COl'E �. <br /> <br /> CiTY STATE ZIP CODE AREA COpEIPHCSNF.. NAA�E Of ASSISTANT TREASURER, 1� ANV <br /> Redwood City CA 94061 <br /> ASAILtNG kQ6RES5(IF C)IF�^ERENT.}NU. ANO STREET 6R P.Q.BQX A�AILING ADDRESS <br /> CITY STATE ZIP CODE ARf•A CO(}E/PHONE CITY STATE ZI�'CC�DE Ri2�A t,pp[,Jt�HGME <br /> t7PT10NkL: FAX t£•MAIL ADOR£SS Ui'I14NAL: FAX!E-tiaAll ADQRESS <br /> ■ i <br /> 4. Verification <br /> I have used ail reasonable dilig�nCe in preparirtg and teviewi�g thi�slakement and to the best af my knowledge the information contained herein and in the ariached scheriules�s true and campi�te. i <br /> Certify under penalty ot perjury under the laws oi(he State of Calitomi�tt+at the foregc�ing is true and corcect. ,, <br /> �/2�N4 -;,' ' ,�' „°�. /(i,�y'(,� -- <br /> Exe;vFedan dy �ti-� - <br /> DA'e SigtkY.�. ,rPASU/9rG(135�st.3f6''[k»aurgr <br /> Ex!`ctrgd on (_ ��'� f T gy � . <br /> Ua�« —�— .�.e C' .roP�.,....� .. . :aa�a. ta!e Aasve ._. . •�;w•,e�ao0'"c.�ret5or�sor <br /> Exccu��1 on g <br /> Da'.P Y C'r]'4�!'nn�rCV`!�,'.,�ArnvC.`0!iCP'!NNd('�.CJnd�.C3ta$!aln,!:�aAreQFrM�^ner`t <br /> Fxecu!ed on gy <br /> �'°- .�,a:.,reac:r,xrcw;�G^"ce!a�vcw�,G�x1r��w.StateR+.eas:xe r�::�rr•+ FPPGf4rm4Bd(Jan!!41j <br /> FPPC Teq-Free Halpline:86btASK-FPPC <br /> State of California <br />