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I <br />Officeholder. Candidate. Ty,.OF print in ink. COVER PAGE- LONG FORM <br /> <br />and COntrolled Co mmittee Statemen.t//cqvers period Date Stamp <br />Campaign Statement -- Long Form f,om,/; '- <br />(GovernmentCode Sections 84200-84216.5) through~/~/_ PI~B I ,, of <br />SEE INSTRUCTIONS ON REVERSE <br />Check (mA of the following boxes to indicate the type of statement being filed: Date of election if applica~lle: JUL :~ 0 °9 ~ <br /> Pre-election Statement (Month, Day, Year) -- ' i For Official Use Only <br /> B Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.) -' j <br /> CITY OF REDWOOD CITY <br /> Cl Special Odd-Year Campaign Report CITY CLERK <br /> I <br /> ~G, Semi-annual Statement · <br /> <br />~ Termination Statement (Attach · completed Form 415 to this statement.) <br />I, Officeholder. Candidate, and Controlled Committee II Other Committees I lot Included in this Statement: <br />Included in this Statement camm/trees not included in this consol/datedstatement ~h~t are controlled by you and any <br /> comm/IYees of w~ch you h~ve knowledge that are pdma[ily fMmed to receive contrlbuttom <br /> N~_~O' OFFICEHOLDER OR CANDIDATE~. <br /> [ L'~ *~ /,~ ~"~.T'~ ~. . ~..~(,,,%~ ~ ~ m. to make ,xpend/~ure, on behoff of rour candida~. <br /> COMMITTEE NAME I.D. NUMBER <br /> <br /> OFFICE SOUGHT ga fl~LO (INCLUOE LOCAIlON AND DISTRICT NUM.ER I~ AI'ffLICABLE) <br /> I <br /> R~MDENTIAL oe fKJMNESS ADD. SS (NO. AND S~REET} ' r'~'~ L ~ 7 NAME OF TREASURER CONTROLLED COMMITTEE1 <br /> <br /> C/TY STATE ~ COO~ AREA COOfJDAYTlldE IqM)NE COMMITTEE ADDRESS (NO. AND STREET) <br /> <br /> ~ I~I:D. NUMMR CITY STATE ZiP cage AREA CODFJDAYIlIdE <br /> COMMI~E <br /> E <br /> NAME <br /> / <br /> <br /> - c....,.-, ,.D.,--,R <br /> <br /> I COMMITrEI AODaESS {NO. AND STREET) <br /> ~- ~_- <br /> OTY STATE / ZIP CODE AREA CODfJOAYTedE IqA~dE NAME Of TIIEASUaER <br /> <br /> NAME OF TREASURER ' - COMMI~II aSS (NO. AIO ST~ET) <br /> PERMANENT AOO~SS Of TREASUI~R Grig. AND STREET) CITY STATE ZIP CODE A~A CODFJOAYTIME PHONE <br /> <br /> CITY STATE ~IP CODE AREA CODf~DAYI'IME Iq40~ , <br /> AlteCh additional tflforma~a)tl on appropriately labeled continuation <br /> <br />III Verification <br /> I have u~d all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is <br /> i true and complete. )cattily u~ler penalty of perjury)under the laws o~t~e Stlte of.~l)lifornia that the foregoing ~.~le~ correct. ~ / ./~ , / <br /> <br /> ' F GATE ' CITY AND STA~ ~ ' SIGNATURE OF TREASURER <br /> <br /> An officeholder OF candiditl who cofltroiI I committee must Ilia verify the campaign statement. I have used ill reasonable dil.igence ind to the best o! mY.knowled, ge th,e tr,ea, su~e.r has use, d all <br /> reasoflabie diligence in preparing this stitement. I hive reviewed the statement ind to the best of my knowledge themfo~m~n,c, ontain,~cl he?Pn an, n~e attacnea scneoules is True ado <br /> complete. I certify un~r pe~nalty of perjury under th_bAlaws of the State of Ca,~ornia thane foregoing is true end cor/r~ <br /> <br /> D~AE CITY AND STA <br /> Executed on At By <br /> DATE CITY AND STATE SIGNATURE OF CANDIDArF~O~FICEHOtDER <br /> <br /> Executed on At By <br /> DAlE CITY AND SLATE SIGNAFURE OF CANDIDAIE/OFFICEHOLDER <br /> <br /> FOR INFORMATION BEQUIRED 10 BE PROVIDED 10 YOU PURSUANT TO THE INFORMATION PRACTICES AC] OF 1~77. SE~ INFORMAIION MAN~AL 4~ CAMPAIGN DISCtOSUR[ PROVISIONS OF THE POLIllCAL REFORM A(~ <br /> <br /> <br />