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. <br /> Recipient Committee <br /> Campaign Statement <br /> Cover Page <br /> (Government Code Sections 84200-84216.5) <br /> SEE INSTRUCTIONS ON REVERSE <br /> Type or print in ink. <br /> Statement covers period Date of election if applicable <br /> 9/20/09 (Month, Day,Year) <br /> from <br /> through 10/17/09 <br /> �. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. <br /> � Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure <br /> Q State Candidate Election Committee Committee <br /> Q Recall Q Controlled <br /> (Also Complete Part 5) Q Sponsored <br /> (Also Complete Part 6) <br /> ❑ General Purpose Committee <br /> Q Sponsored <br /> Q Small Contributor Committee <br /> � Political Party/Central Committee <br /> � Primarily Formed Candidate/ <br /> Officeholder Committee <br /> (Also Complete Parf 7) <br /> 3. Committee Information �.D. NUMBER <br /> 1315847 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) <br /> Friends of Jeff Gee for City Council 2009 <br /> STREET ADDRESS (NO P.O. BOX) <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94065 650-483-7412 <br /> MAILING ADDRESS(IF DIFFEREIVT) NO.AND STREET OR P.O. BOX <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> jeff@jeffgee.org <br /> OPTIONAL: FAX/E-MAIL ADDRESS <br /> 11/3/09 <br /> COVER PAGE <br /> Date Stamp <br /> :. PBge of JL <br /> � For Official Use Only <br /> � �� -- ; -� .a �p u:� <br /> . . . $ <br /> 2. Type of Statement: <br /> � Preelection Statement <br /> ❑ Semi-annual Statement <br /> ❑ Termination Statement <br /> (Also file a Form 410 Termination) <br /> ❑ Amendment(Explain below) <br /> ❑ Quarterly Statement <br /> ❑ Special Odd-Year Report <br /> ❑ Supplemental Preelection <br /> Statement-Attach Form 495 <br /> Treasurer(s) <br /> NAME OF TREASURER <br /> Jeff Gee <br /> MAILING ADDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94065 650-483-7412 <br /> NAME OF ASSISTANT TREASURER, IF ANY <br /> MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> 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 inf t' a erein and i ed schedules is true and complete. I certify <br /> under penalty of perjury under the laws of the State of California that the foregoing is true and c . <br /> 10/22/09 By — <br /> Executed on <br /> Date i a rer easurer <br /> 10/22/09 By <br /> ExeCUted On ignatureofControllingOfficeholder a d , M i e fficero Sponsor <br /> Date <br /> Executed on <br /> Date <br /> Executed on <br /> Date <br /> By °°`_. <br /> Signature of Controlling Officeholder,Candidate,State Measure Proponent <br /> By <br /> Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) <br /> FPPC Toll-Free Helpline:8661ASK-FPPC(866/275-3772) <br /> State of California <br />