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Officeholder and Candidate <br />Campaign Statement — <br />Short Form <br />1. Statement Covers Calendar Year 20 _-Q_ . <br />2. Officeholder or Candidate Information <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />M o�c V— wo a hC.Y, <br />STREETADDRESS <br />Date of election if applicable: <br />(Month, Day, Year) <br />�E <br />CAf IKa62 <br />Date Stamp <br />RECEIVED <br />❑ Amendment (Explain Below) <br />ity of Redwood City <br />3. Office Sought or Held <br />OFFICE SOUGHT OR HELD <br />For <br />O—p itwa1ak& cw, <br />4. Committee Information <br />List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. <br />COMMITTEE NAME AND I.D. NUMBER <br />5. Verification <br />COMMITTEE ADDRESS <br />NAME OF TREASURER <br />I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $2,000 and that I will spend less than $2,000 during the calendar year and that I have used <br />all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />Executed on 2 2CP <br />DATE <br />By <br />SIGNATURE OF OFFICEHOLDER OR CANDIDATE <br />FPPC Form 470/470 Supplement (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (8661275-3772) <br />www.fppc.ca.gov <br />