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Officeholder, Ca nd idate, Typ~ or print in ink. COVER PAGE- LONG FORM <br />and Controlled Committee Statement covers period Date Stamp <br />Campaign Statement Long Form f,o .; <br />(Government Code Sections 84200-84216.5) .............. ~ ~ <br />SEE INSTRUCTIONS ON REVERSE ~ Pa~ / ~' ~ , <br /> <br />  Pre~le~ion Statement (M~h, Day, <br /> Supplemental Pre~l~ion Statement (A~ach a completed Form 495 to this statement.) <br /> S~cial Odd-Year ~mpaign Re~ 61~Y 0F REDWOOD <br /> Semi-annual S~tement ~ ~ITY <br /> Termination Statement (A~ch ~ completed Form al 5 to this ~atement.) <br /> <br /> lis Statement c~m~ees ~t i~l~d in thi~ c~idat~ ~tement ~t ~re c~trolled ~ you ~ ~ny <br /> NAME OF OFF~EHOLDER OR ~N~ATE c~m~es of w~h you h~ k~l~ that ~ ~m~ f~ to recei~ <br /> ~ m make ex~u~s ~ ~ffof~r c~. <br /> <br /> ~il~g~t ~ ~NEiS l~gi$ ~. AND Sf~ ~ME g T~ C~R~LED C~Mgiil <br /> CffY STATE ZIP C~ ~ C~E~AYTME ~i CMM~EE AD~SS ~. A~ S~ <br /> COMMI~EE NAME [ i.b..~BE~ ~ STATE <br /> <br /> C~M~EE ~ME [ I.D. N~IE~ <br /> CWM~EE AD.SS ~. AND ST~E~ <br /> <br /> C~ STATE ZIP C~ ~ C~AYTIME ~ ~g ~ T~R C~R~LED C~M~E? <br /> NAME OF TRE~URER ' ~ CMM~EE AD.SS ~. AND ST~ <br /> <br /> CffY STATE ~ C~ A~A C~A~WE ~E <br /> <br />III VerifiMtion <br /> I have u~ all reawnab~ diligeKe in pre~riflg this ~atement. I have review~ the ~atement and to the ~ of my k~led~ the ~or~o~ed herein and in the i~ached Khedules is <br /> true and compl~e. ~ce~i~under~n~rJuryunderthe~a~s~t~eSt~f~if~rn~athatthef~r~ng~~r~/~///~` ~ <br /> <br /> ' bATE ' CnV A~ STATE <br /> An officeholder M ~Mlte who controls I comml~ee mu~ Ilso ver~y t~ campaign ~teme~. I have u~d iii rea~nable diligence and to the ~ of my knowledge the trelsurer h~s used all <br /> reasonable diligence in preparing this ~tement. I have reviewed the ~atement and to the ~ of my kn~ledge the information contained herein and in the a~ached Kheduies is true and <br /> <br /> ~ t DATE C~Y A~ STATE SIGNATURE OF ~NDIDATEI~F~E~DER <br /> <br /> Executed on At <br /> DATE C~Y AND STATE SIGNATURE OF ~NDIDATE~FF~EH~DER <br /> <br /> Executed on At By <br /> DATE C~Y AND STATE SIGNATURE OF CANDIDATE~FICEH~DER <br /> <br /> FOR INF~AT~N RE~I~D TO ~E PROVIDED TO YOU PU~UAm TO THE INFO~MATI~ P~ES A~ ~ 1~77. SEE INFO~ATION MAN~AL ~ ~MPAIGN DISCLOSURE P~OVI~ION~ Of THE P~I~L REFO~ <br /> <br /> <br />