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AMENDMENT TO CAMPAIGN DISCLOSURE STATEMENT <br /> <br />.... ~ This form must be used to amend statements hied pursuant to Government . <br />(:':~~'~'.'~t Code Sect,oas 84200-84216.5, and must be filed with all filing officers who <br /> 1L~. ,~,---p.. received the statement being amended. NOTE: This form is not used to ~--o <br /> amend a Statement of Organization (Form 410). To amend a Statement of <br /> Organization. use the Form 410. . .. - CITY OF [{EDW00D C!T¥ <br /> FORM 405' (Type or Print in Ink) .. , CITY CLERK <br /> 19~0 -- ..... FOR OFFICL~L US[ ONLY <br /> A <br /> <br /> I. The information required in Section I must correspond to the information provided <br /> on the camDaign statement. <br /> <br /> -NAME OF FILER: {See important information on reverse ) I.D. NO. (IF APPLICABLE): <br /> - 880343 <br /> Judy Buchan <br /> /~AAILING ADDRESS OF FILER: NO AND STREET CITY - STATE ZIP CODE AREA CODE/PHONE NUMBER <br /> <br /> Redwood City CA 94063 ' ( <br /> <br /> NAME OF TREASURER IF RECIPIENT COMMIt'lEE: <br /> Dorothy Buchan <br /> PERMANENT ADDRESS OF TREASURER (IF APRLICABLE): NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE NUMBER <br /> Redwood City CA' 94063 ( <br /> <br /> II. The following information amends campaign disclosure statement, Form N°. 490 ' , Executed on <br /> ' for the period '///~ through <br /> ItaO.. D~Y, <br /> <br /> JII. The amended reformation affects items on the: <br /> ~ Summary Page <br /> ~ Cover Page ~ Allocation Page <br /> <br /> r-] schedule(s) ~ Part(s) <br /> <br /> IV. Describe the change5 below. Include in detail all information, you wish to become a part of your official campaign <br /> statement. Also attach a ~over page. summary page or appropriate schedule if needed for clarification. <br /> <br /> Math corrections ...... <br /> <br /> Inclucle aclcht~onal informazlon on appropriately labele~ con~,nua~on sheets (NumOer of pages atlached -- ) <br /> VERIFICATION <br /> I HAVE'USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT I HAVE REVIEWED THE STATEMENT AND TO THE BEST OF MY <br /> KNOWLEDGE THE INFORMATION CONTAINED HEREIN AND IN THE AT'/ACHED SCHEDULES IS TRUE AND COMPLETE. <br /> I CERTIFY UNDE~, PENALTY OF PERJURtY~ UNDER ~H.E LA~S OF. THE STATE ~s~..ALIFORNIA~HAT THE FOREGOING IS TRUE AND CORRECT <br /> <br /> A ~N~AT[, OFF~EHOLDER OR STATE ~EASURE ~O~NENT WHO CON~O~ A CO~E[ ~5T A~O V~FY THIS <br /> <br /> I HAVE USED ALL REASONABLE DI[IGENCE. AND TO THE BEST OF MY K~WLEDGE. THE TREASURER HAS uSED ALL REASONABLE <br /> DILIGE~E IN PREPARING THIS STATEMENT t HAVE REVIEWED THE STATEMENT AND TO THE BEST OF MY KNOWLEDGE THE <br /> IH~R~T~N CONTAINED HEREIN ANO IN THE A~ACHED SCHEDULES IS TRUE AND COMPLETE. <br /> I CERTIFY uNDER/PENALTY OF PERJURY uNDER THE ~ OF THE STATE OF ~LI~RNIA THAT THE ~REGO[NG IS TRuE <br /> <br /> EXECUTED 0N ~T BY <br /> EXECUTED ON ~T BY <br /> <br /> -1 <br /> <br /> <br />