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AMENDMENT TO CAMPAIGN DISCLOSURE STATEMENT <br /> <br /> : .,,, ~ This form must be used to amend statements filed pursuant to Government /u Ir, t~:J', ' : <br />(~'_.~.:'~.,. ~ =.--.Code Sections 84200-84216.5, and must be filed with all filing officers who t'_~3 J 9 ..... ~. <br /> received the statement being amended. NOTE: This form is not used to <br />~ amend a Statement of Organization (Form 410). To amend a Statement of ClTY0£REDW03DCIT~~J <br /> Organization, use the Form 410. CITY CLERK <br /> <br /> FORM 405 (Type or Print in Ink) <br /> 1990 FOR OFFICIAL USE ONLY <br /> <br /> A <br /> <br /> I. The information required in Section I must correspond to the information provided <br /> on the campaign statement. <br /> <br /> ~AMF. OFFILER: (Seemmpo~antmfotmauononre~e?$e) I.D. NO. (IF APPLICABL[); <br /> Judy Buchan 880343 <br /> MAILING ADDRESS OF FILER; I~lO AND STREET CITY STATE 71PCODE AREA CODE/PHONE NUMBER <br /> <br /> Redwood City CA 94063 ( <br /> <br /> NAME OF TREASURER IF RECIPIENT COMMITTEE: <br /> Dorothy Buchan <br /> PERMANENT ADDRESS OF TREASURER (IF APPLIC.~BLE): NO. AND STREET CITY STATE ZiP CODE ARF,A CODE/PHONE NUMBER <br /> Redwood City CA 94063 ( <br /> <br /> II. The following information amends campaign disclosure statement, Form No. 490 , Executed on <br /> _~/.~c~/l~ ~r' 'for the period ~/~-F/~ ~" through .5/~, <br /> {MO.. OAY. <br /> <br /> III. The amendecl reformation affects items on the: <br /> E] cover Page E] Allocation Page , [~ Summary Page <br /> ~ Schedule(s) E] Part(s) <br /> <br /> iv. Describe the changes below. Include in de[ail all information, you wish to become a part of your official campaign <br /> statemenL Also a~ach a ~over page. summary page or appropriate schedule if needed for clarification. <br /> <br /> Math corrections <br /> <br /> Include addmtlonal information on apDropr~atety labelecl connnuat~on sheets (Number of pages a~ached ) <br /> <br /> VERIFICAT1 ON <br /> <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 ATTACHED SCHEDULES IS TRUE AND COMPLETE. <br /> ~ CERTIFY UNQER PE/~ALTY OF PERJURY~ UNQER Tlfl, E ,L~WS OF THE STATE-OF,~CALIFQRN~ THAT THE FOREGOING IS TRUE AND CORRECT <br /> <br /> A CANDUDATE. OFFK~EHOLDER OR STATE ~EASURE P~OPONENT WHO CON~OL5 A CO~[[ ~ST A~O V[~FY THIS <br /> A~ENDMENTTO THE ~A~ STATEMENT <br /> <br /> I HAVE USED ALL REASONABLE DILIGENCE. AND TO THE BEST OF MY K~WL/DGE. THE TREASURER HAS USED ~LL REASONABLE <br /> DILIGEnt IN PREPARING THIS STATEMENT I HAVE REVIEWED THE STATEMENT AND TO THE BEST OF MY ~NOWL[DGE <br /> IN~R~T~N CONTAINED HEREIN AND IN THE A~ACHED SCHEDULE5 IS TRUE AND COMPLETE. <br /> I CERTIFY UNDER/P~NALTY OF PERJU~Y uNDER THE ~ OF THE 5TAT~F ~LI~RNIA THAT THE ~REGOING IS TRUE <br /> CORRE~ ': ' <br /> <br /> E EXECUTED ON ~T <br /> EXECUTED ON ~T BY <br /> <br /> -1 <br /> <br /> <br />