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Officeholder, Candidate, COVER PAGE- LONG FORM <br /> addControlled Committee Type or print in ink. Statement covers period Date Stamp CALIFORNIA <br /> Campaign Statement - LongForm from '--~¢"~'" ' // 19 ,~?---~U ~ ..... ~ ~ ~ ~ ~ ~'~ ~ Page <br /> SEE INSTRUCTIONS ON REVERSE through J~ ~ ~ t <br /> Date of election if applicabl~ il JUL 1 19% <br />Check one of the following boxes to indicate the type of statement being filed: For Official Use Only <br /> ~ Pre-election Statement (Month, Day, Year) <br /> ~ Supplemental Pre-election Statement (A~ach a completed Form 495 to this statement.) <br /> / <br /> ~ Special Odd-Year Campaign Repod ~ C TY OF REDWOOD CITY <br /> Sem -an.ua, ¢, / ¢ e__ <br /> ~ Termination Statement (A~ach a completed Form 415 to this statement.) <br />I Officeholder, Candidate, and Controlled Commi~ee II Other Committees Not Included in this Statement: Us~a~o~er <br /> Included in this Statement ¢o~i.ees not included in this consolidated statement that are controlled by you and <br /> NAME OF OFFICEHOLDER OR CANDIDATE ~y commi~ees of which you have knowledge that are primarily formed to receive <br /> %A ~ ~ ~ ~ contributions or to make expenditures on behalf of your candidac, <br /> COMMI~EE NAME I.D. NUMBER <br /> OFFICE SOUGHT OR HELD (INCLUOE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) <br /> <br /> kb Bb~ AL OR 8~SINESS ~BDRESS (NO. AND~TREEf} NAME OF TREASURER CONTROLLED COMMITTEE? <br /> <br /> CITY STATE ZIPCODE AREA CODE/DAYTIME PHONE COMMITTEE ADDRESS (NO. ANDSTREET) <br /> <br /> COMMITTEE NAME ~ CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE <br /> 1 D. NUMBER <br /> <br /> COMMITIEE ADDRESS(NO AND STREET) <br /> NAMEOFTREASURER CONTROLLEDCOMMITTEE? <br /> CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE ~ YES ~ NO <br /> <br /> NAME OF TREASURER J / <br /> <br /> <br /> CITY STALE ZIP CODE AREA CODE/DAYTIME PHONE Attach additional information on appropriately labeled continuation sheets. <br /> <br />III Verification <br /> I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the~formation contained herein and in the a~ached schedules is true and <br /> complete. I cedify under penalw of perjuW under t~aws pf the State of Cal~ornia that the foregoing is true and correct. ~ / <~ <br /> Execuledon V/~/~1, Al ~~C,~ANDSTATEC'~ .,, C~ By /'~ ~~/~ U~~T <br /> An officeholder or candidate who controls a committee must also verify the campaign statement. I have used all reasonable diligence and to the best of my knowledge the treasurer has used all <br /> reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information confined herein and in the attached schedules is true and complete. I cedify <br /> under penalty of perj~ unde[ the laws of the State of California lhat the foregoing is true and correct. // ~ x ~ <br /> <br /> [ ~ ' ~ o c DP '~O FCEHOL~ <br /> <br /> Execuled on At By <br /> OA~E CITY AND STATE SIGNAIURE OF CANDIDAIBOFrlCEUOLDER <br /> <br /> Executed on At By <br /> DATE CITY AND fiIAlE SIGNAIURE OF CANDIDAT~OFFICEHOLDER <br /> <br /> FOR INFORMAIION REQUIRED TO BE PROVIDED ~O YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977, SEE INFORMATION MANUAL ON CAMPAIGN OISCLOSURE PROVISIONS OF lHE POLITICAL ~M A~] <br /> State of California Fair Political Practices Commission <br /> <br /> <br />