Laserfiche WebLink
_ �.� __.._.r .��,�; _ <br /> COVER PAGE <br /> Recipient Comrr�ittee Type or print In ink. � - <br /> . � <br /> Campaign Statement � ������� • - � � <br /> Cover Page <br /> {Government Code Sections 84200-84216.5) P gs � of 3 <br /> Statement covers period Date of election if a plicable: A�a 01 2013 <br /> tvom <br /> 1/1/13 (Mot�th,Oay,Y t) For OTficial Use Only <br /> C .`t�?F f-;�=:;`�r;�&�f�;�;�2T1` <br /> 6/30/13 11/8/11 <br /> SEE INSTRUCTIONS ON REV£RSE lhrough �drY�LE.R,K <br /> 1. Type of Recipient Committee: Ail Committees—Complete Parts 1,�,s,and 4. 2. Type of Statement: <br /> 0 Off+ceholder,Candidate ConErolled Committee Q Primarily Formed 8alloi Measure ❑ Praelectio�Statament ❑ Quarterly Siaiement <br /> Q State Candidate Election Committee Committee � Semi-annual Statement � Special Odd-Year Report <br /> Q Recall O�����d ❑ Terminaklon Statement ❑ Supptemental Prsetection <br /> �asoca,�orsceaena� Q Sponsared (Also file a Fortn 410 Termination) Statement-Attach Form 495 <br /> {AboComple(ePartB) � qmendment(Explain below) <br /> ❑ General Purpose Committee <br /> Q Sponsored [j Primarily Formed Candfdate/ <br /> Q Small Contributor Committea O�cehaider Cammittee <br /> Q Politicai Party/CenVal Committee WaoCompletePeit7) <br /> 3. Cammittee Information ti.0. NUMBHR Treasurer{sj <br /> 1255762 <br /> COMMITTEE NAME(OR CANDfDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> fan-Bain for City Councii2011 Lorianna Kastrop <br /> MAILING ADDRESS <br /> 28 Meadow Lane <br /> STREHT ADDRESS(NO P.O.80X) CITY S7ATE ZtP CdQE AREA CQDEJPHONE <br /> Ratlwobd City CA �4881 <br /> <br /> Redwood City CA 940fi1 <br /> MAIIING ADORESS(IF DIFFERENT)NO.ANO STREET OR P.O. BOX MAIIING AOORESS <br /> CiTY STATE 21P CODE AREA COOE/PHONE CITY STATE ZIP CODE AREA CODElAHONB <br /> OPTIONAL: PAX 1 E-MAII.ADDRESS OPTIONAL• FAX/E•MAIL•AflORESS <br /> 4. Verification <br /> !have used all reasonable diltgence in preparing and revlewing this siatement and to the best of my knowiedge the informatio contained herein and in the attached schedufes is true and complete. I certity <br /> under penalty of perjury under ihe laws of the State of California that the foregoing is true and correct. <br /> executad o� 7l3�1113 Bv - <br /> Sipna 7reaaureror IsmntTreaeurar <br /> Executed on 7/��/13 �, ^�—�' ' <br /> SlpnaturoofCantrolM�p011fcelaklx,Ca �SletaMea orReoP�WsQIlkerofSponsor <br /> Executed on BY <br /> � Sgnalure of ConVdNng OlficelqWet.CandiAate.State Meewre Pmponerd <br /> Executed on � gy S�prwtwed OlAcandaer.Cr�ea�e.sqmMeawrea�oponent FPPC Form 4B0(Januaryf05� <br /> fPPC Toli�Free HaEplina:886/ASK-FPPC(888f2T337T2) <br /> Stats ot CaUfornia <br />