Howard 04-29-2013 Initial Not Qualified State 410

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Statement of Organization STATEMENT OF ORGA Type or print in ink Date Starnp., jav; Recipient Committee skate. Statement Type 19 Initial Not yet qualified 9 or I I Date qualified as committee 1. Committee Information NAME OF COMMITTEE 0 Amendment List LD. number: I I Date qualified as committee (if applicable) Diane Howard for Redwood City Council 2013 O. BOX) 907 Katherine Ave CITY Redwood City MAILING ADDRESS (IF DIFFERENT) OPTIONAL: FAX /E-MAILADDRESS STATE ZIP CODE CA 94062 rl Termination -See ParttP� MAY 0 8 2013 For Official Use Only List I.D. number: -iTy OF REDWOOD CiTY CITY CLERK Date of Termination AREA CODE/PHONE (650) 208-4774 COUNTY OF DOMICILE COUNTY WHERE COMMITTEE 15 ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE San Mateo County Attach additional information on appropriately labeled continuation sheets. 1 2. Treasurer and Other Principal Officers NAME OF TREASURER Jeffrey Ira STREETADDRESS (NO P.O. BOX) 333 Twin Dolphin Dr., Suite 230 CITY STATE ZIP CODE AREA CODE/PHONE Redwood City CA 94065 (650) 802.8668 NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O, BOX) CITY NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE STATE ZIP CODE AREA CODE/PHONE AREA CODE/PHONE 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 04/25/13 By DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on 04/25/13 By 0" DATE SIGNATURE OF CONTROLLING OR 5TAT17MMMt7m PROPONENT Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (April/2011) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275.3772)