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r <br />Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />Type or print in ink. <br />Statement covers period Date of election if applicable: <br />07/01/13 (Month, Day, Year) <br />from <br />through 09/21/13 11/05/13 <br />1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. <br />® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure <br />Q State Candidate Election Committee Committee <br />Q Recall Q Controlled <br />(Also Complete Part 5) Q Sponsored <br />(Also Complete Part 6) <br />❑ General Purpose Committee <br />Q Sponsored <br />Q Small Contributor Committee <br />O Political Party/Central Committee <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />(Also Complete Part 7) <br />3. Committee Information I.D. NUMBER <br />1357417 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Diane Howard for Redwood City Council 2013 <br />STREET ADDRESS (NO P.O. BOX) <br /> <br />CITY STATE ZIP CODE <br />Redwood City, CA 94062 <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />AREA CODE/PHONE <br />STATE ZIP CODE AREA CODE/PHONE <br />COVER PAGE <br />Date Stamp CALIFORNIAFORM • 1 <br />Page 1 of fto <br />For Official Use Only <br />.'i ;' ',5 t:. 1. i <br />2. Type of Statement: <br />® Preelection Statement <br />❑ Semi-annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />Treasurer(s) <br />NAME OF TREASURER <br />Jeffrey Ira <br />MAILING ADDRESS <br />333 Twin Dolphin Dr., Suite 230 <br />CITY <br />Redwood City, CA 94062 <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />❑ Quarterly— Statement <br />❑ Special Odd -Year Report <br />❑ Supplemental Preelection <br />Statement - Attach Form 495 <br />STATE ZIP CODE <br />STATE ZIP CODE <br />AREA CODE/PHONE <br />AREA CODE/PHONE <br />4. Verification <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 certify <br />under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />/ <br />Executed on I �`� Cly <br />y��/� -1-1 —� <br />Date y Sionera reo reasurero;ListantTreasurer <br />Executed on �'� 13 <br />Date Si aW Iing Ofi&gWltler,Candidate, State Measure Proponent or Responsible Officer of Sponsor <br />Executed on By <br />Date Signature ofControlling Officeholder, Candidate, State Measure Proponent <br />Executed on By <br />Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) <br />FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772) <br />State of California <br />