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Recipient Committee <br />Campaign Statement <br />Cover Page <br />SEE INSTRUCTIONS ON REVERSE <br />from <br />Statement covers period Date of election if appli <br />July 1,2( 1 (Month, Day, Year) <br />through <br />September 19, 2020 <br />I. Type of Recipient Committee: ,all committees - Complete Parts 1, 2,3, -and 4. <br />[� Officeholder, Candidate Controlled Committee <br />O State Candidate Election Committee <br />O Recall <br />(Also Cmtpmh) P&I 5) <br />❑ General Purpose Committee <br />O Sponsored <br />O Small Contributor Committee <br />O Political Party/Central Committee <br />3. Committee Information <br />❑ Primarily Formed Ballot Measure <br />Committee <br />O Controlled <br />O Sponsored <br />(Also Complele Part 6) <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />(Also Complolo Part 7) <br />I.D. NUMBER <br />1374422 <br />%OMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE! <br />Committee to Elect Janet Borgens for City Council 2M �;WZ0 '04' <br />STREET ADDRESS tN0 P,O. BOX) <br />18 Yarnal Place <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Redwood City CA 94063 (650) 364-2747 <br />MAILING ADDRESS (IF DIFFERENT) No, AND STREET OR P.O. BOX <br />CITY STATE ZIPcoDE AREA CODE/PHONE <br />OPTIONAL: FAX 1E -MAIL ADDRESS <br />RECENED <br />City of Redwood City <br />City Clerk <br />2. Type of Statement: <br />52 <br />Preelection Statement <br />❑ <br />Semi-annual Statement <br />❑ <br />Termination Statement <br />(Also file a Form 410 Termination) <br />❑ <br />Amendment (Explain below) <br />Treasurer(s) <br />COVER PAGE <br />of <br />For Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />NAME OF TREASURER <br />Hollis Matheny <br />MAILING ADDRESS <br />1367 S Country Club Drive Unit #1149 <br />CITY STATE ZIP CODE AREA CODEIPHONE <br />Mesa AZ 85210 (408) 242-6815 <br />NAME OF ASSISTANT TREASURER, I F ANY <br />MAILINGADDRESS <br />CITY STATE ZIP CODE AREACODEIPHONE <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 inform 'an contained herein and in the attached schedules is true and complete. I <br />certify under penalty of per)u under the laws of the State of California that the foregoing is and correct. <br />Executed on a By <br />C7a10 S ,afluru of Trua ur As nt MUM <br />Da � <br />Executed an By <br />nn u SI a or Cupp I ng rcwhowor, Candi atn, wte aruro Pf6porlcmt w Ruslwas"rhlo O icor of Sponsor <br />Executed on By <br />bate Signature of Controlling Officeholder, Cerwwsta, Slate Measure Proponent <br />Executed on By Date Signaluro ol'Conuolling Officeholder 0—MirMlo, Slate Measure Proponent <br />FPPC Form 460 ()an/:2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />ururur fnnr ra ami <br />H <br />