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i <br /> Recipient Committee T COVERPAGE <br /> Campaign Statement YPe or print in ink. �¢ oate Stamp � �� � <br /> .� . .,��:� �:., x: � • 1 <br /> Cover Page �`°` . "� - � <br /> � '� �"�:' <br /> (Government Code Sections 84200-84216.5) ' - ���' � _� <br /> Statement covers period Date of election if applicabl : Page�— of <br /> from 07/01/2015 (Month, Day,Year) � SEP 2 4 2015 For ff'icia� use on�y <br /> p <br /> � � <br /> SEE INSTRUCTIONS ON REVERSE through <br /> 09/19/2015 11/03/2015 ��,��� -; ,., .�.< � <br /> 1. Type of Recipient Committee: nu commmeeg-compiece aartg�,s,s,and 4. 2. Type of Statement.""" ���� - - -`• �..._�.,..s�, <br /> � Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure � Preelection Statement ❑ Quarterly Statement <br /> Q State Candidate Election Committee Committee ❑ Semi-annual Statement <br /> Q Recall Q Controlled Termination Statement ❑ SPecial Odd-Year Report <br /> ❑ ❑ Supplemental Preelection <br /> (AlsoCompletePartS) Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 <br /> (Also Complete Part 6) <br /> ❑ General Purpose Committee ❑ Amendment(Explain below) <br /> Q Sponsored ❑ Primarily Formed Candidate/ <br /> Q Small Contributor Committee Officeholder Committee <br /> Q PoliticalParty/CentralCommittee . (asocomPierePan�� <br /> 3. Committee Information I.D. NUMBER Treasurer(s) <br /> 1255762 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> lan Bain for City Council 2015 Lorianna Kastrop <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94063 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> Redwood City CA 94061 <br /> �WIAILING ADDRESS (IF DIFFERENT)NO.AND STREET OR P.O. BOX MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS 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 information contained herein and in the attached schedules is true and complete. I certify <br /> under penalty of perjury under the laws f the State of Califomia that the foregoing is true and correct. <br /> � <br /> Executed on By <br /> Date i' Signatur reasureror nt7reasurer <br /> � <br /> Executed on � �� By �^ <br /> Date SignatureofContro ingOfficeholder, andidate,State easureProponentorResponsibleOfficerofSponsor <br /> Executed on By <br /> Date Signature of ConV011ing Officehdder,Candidate,State Measure Roponent <br /> Executed on By <br /> Date Signature ofConV011ing Oificehdder,Candidate,State Measure Proponent <br /> FPPC Form 460(January105) <br /> FPPC Toil-Free Helpline:8661ASK-FPPC(8661275-3772) <br /> State of California <br />