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Recipient Committee COVER PAGE <br /> Type or print In ink. Date Stamp w,,t_IFORNIA /� 6 <br /> Campaign Statement `'�' <br /> Cover Page . ^- FORM <br /> (Government Code Sections 84200-84216.5) ' A <br /> Statement covers period Date of election if appli able: Pa e 1 of 6 <br /> from <br /> 9/22/13 (Month, Day, Year) OCT 2 3 2013 For Official Use Only <br /> SEE INSTRUCTIONS ON REVERSE through 10-19-13 11-05-2013 crri r E �- ^ `i�' <br /> 1. Type of Recipient Committee: All Committees–Complete Parts 1,2,3,and 4. 2. Type of Statem; in' _,r,..,: --- <br /> ® Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure m Preelection Statement ❑ Quarterly Statement <br /> Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report <br /> Q Recall 0 Controlled <br /> (Also 0 Sponsored ❑ Termination Statement ❑ Supplemental Preelection <br /> (Also file a Form 410 Termination) Statement-Attach Form 495 <br /> (Also Complete Part 6) <br /> ❑ General Purpose Committee ❑ Amendment(Explain below) <br /> Q Sponsored ❑ Primarily Formed Candidate/ <br /> Q Small Contributor Committee Officeholder Committee <br /> Q Political Party/Central Committee (Also Complete Part 7) <br /> 3. Committee Information 11.0. NUMBER Treasurer(s) <br /> COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Corrin Rankin for City Council 2013 Kathy Erken <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City Ca 94063 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> Redwood City Ca 94063 <br /> MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX I E-MAIL ADDRESS 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 knowledg:the information contained herein and in the attached 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 correct / <br /> Executed on 10-23-2013 <br /> By s. / �i� <br /> Date il• i=n'=r or Assistant Treasurer <br /> Executed on 10-23-2013 ��i <br /> By <br /> Date Signature of ..S •iT:icehold,,Candidate,S— easure Proponent or Responsible Officer of Sponsor <br /> Executed on By <br /> Date Signature of Controlling Officeholder,Candidate,State Measure Proponent <br /> Executed on By <br /> Date Signature of Controlling Officeholder,Candidate,State Measure Proponent <br /> FPPC Form 460(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772) <br /> State of California <br />