Laserfiche WebLink
<br />Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br /> <br />COVER PAGE <br /> <br />Type or print in ink. <br /> <br />Date Stamp <br /> <br />r~ ~ [; ~-~--~ [~~ <br />~":~i:.'.::;':b Ii, <br /> <br />IU1. <br />JUL 2 7 2004 II I Page <br /> <br />CALIFORNIA 4.'."'.. '.'6" "0 <br />2001/02 <br />FORM <br /> <br />Statement covers period <br />from ¡ j kif <br /> <br />through (; ßCkf <br /> <br />Date of election if apPlicab'~¡lll' <br />(Month, Day, Year) IU <br /> <br />of <br /> <br />4 <br /> <br />For Official Use Only <br /> <br />SEE INSTRUCTIONS ON REVERSE <br /> <br />CITY OF REC."!JOOD CITY <br />CiTY CLERK <br /> <br />1. Type of Recipient Committee: All Committees - Complete Parts 1,2,3, and 4. <br /> <br />00 Officeholder, Candidate Controlled Committee 0 Ballot Measure Committee <br />0 State Candidate Election Committee 0 Primarily Formed <br />0 Recall 0 Controlled <br />(Also Compiele Part 5) 0 Sponsored <br />(Also Complete Part 6) <br /> <br />2. Type of Statenrent: <br /> <br />LJ Preelection Statement <br />00 Semi-annual Statement <br />I I Termination Statement <br /> <br />¡¡Amendment (Explain below) <br /> <br />" <br />0 Quarterly Statement <br />0 Special Odd-Year Report <br />0 Supplemental Preelection <br />Statement - Attach Form 495 <br /> <br />0 General Purpose Committee <br />0 Sponsored <br />0 Small Contributor Committee <br />0 Political Party/Central Committee <br /> <br />0 Primarily Formed Candidate/ <br />Officeholder Committee <br />(Also Complete Palt 7) <br /> <br />I.D. NUMBER <br />9414494 <br /> <br />Treasurer(s) <br /> <br />3. Committee Information <br /> <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br /> <br />NAME OF TREASURER <br /> <br />DIANE HOWARD FOR CITY COUNCIL <br /> <br />RICHARD S. CLAIRE <br /> <br />MAILING ADDRESS <br /> <br /> <br /> <br />STREET ADDRESS (NO P.O. BOX) <br /> <br /> <br />CITY <br />REDWOOD CITY <br /> <br />STATE <br />CA <br /> <br />ZIP CODE <br />94062 <br /> <br />AREA CODE/PHONE <br /> <br /> <br />CITY <br />REDWOOD CITY <br /> <br />STATE <br />CA <br /> <br />ZIP CODE <br />94062 <br /> <br />AREA CODEíPHONE <br /> <br /> <br />NAME OF ASSISTANT TREASURER, IF ANY <br /> <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br /> <br />MAILING ADDRESS <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP CODE <br /> <br />AREA CODE/PHONE <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP CODE <br /> <br />AREA CODE/PHONE <br /> <br />OPTIONAL: FAX I E-MAIL ADDRESS <br /> <br />OPTIONAL: FAX / E-MAil ADDRESS <br /> <br />4. Verification <br /> <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I <br />certify under penalty of perjury under the laws of the State of California that the fo.r..e. ,9",Oi,n".~.g,/, ,i,st,~"d~CO. r~, ",.7 "/1//' .' <br /> <br />7/22/04 / ~ -/ / ~-<. : /J <br />Executed on By - - M" (f. æ"r. "'"-f/ <br />Date <br /> <br />Date <br /> <br />By <br /> <br /> <br />'er <br /> <br />Executed on <br /> <br />7/22/04 <br /> <br />"of Sponsor <br /> <br />Executed on <br /> <br />Date <br /> <br />By <br /> <br />Signature of Controliing Officeholder. Candidate. State Measure Proponent <br /> <br />Executed on <br /> <br />Date <br /> <br />By <br /> <br />Signature of Coot",lilng Officeholder. Candidate, State Measure Proponent <br /> <br />FPPC Form 460 (June/01) <br />FPPC SK-FPPC <br />State of California <br />