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AMENDMENT TO CAMPAIGN DISCLOSURE STATEMENT'" <br /> ~~ This form must be used to amend stalements filed pursuant to Government r .... <br /> ['-~-~"'~'~ Code Se~ions 84200-8~216.5, and must be filed with all filing officers who .... <br />~ amend a Statement of Orgamzation (Form 410). To amend a Statement of CITYOF REDWOODC]TY <br /> Organization, use the Form 410. CITY CL~tRK <br /> <br /> FORM 405 (Type or Print in Ink) <br /> 19~ ~o~ O~FI~L U~[ 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 /> NAME OF FILER: (See ~mpo~ant mtotmat~on on ~everte ) I.D. NO. (IF APPLI~BLE); <br /> '3udy ~uchan 880343 <br /> MAILING ADDRESS OF FILER; NO AND STREET CITY S~AT[ ZIP CODE AREA CODE/PHONE NUMBER <br /> <br /> ~ Redwoo~ C~y ~ 94063 ( <br /> <br /> NAME OF TREASURER IF RECIPIENT COMMI~EE; <br /> <br /> Do:o~y 9uchan <br /> PERMANENTADDRESSOFTREASURER(IFAPPLI~BLE): NO. AND STREET CITY STATE ZIP CODE AREACODEffHONENUMBER <br /> ~ Re~woo~ C~y ~ 94063 ( <br /> <br /> II. The following information amends campaign disclosure statement. Form No. 490 , Executed on <br /> <br /> III. l~e amenO~ mform~don ~ffecB item~ on the: <br /> D Cover Page ' g Allocation Page , ~ Summa~ Page <br /> ~ Sch~ule(s) ~ Part(s) <br /> <br /> IV. De~ribe the ¢hang~ below. Include in de~il all informatio~you wish to become a pa~ of your o~icial campaign <br /> s~temenL Also a~ach a ~er page, summa~ page or appropriate schedule if ne~ed for clarification. <br /> <br /> include add~t.~on:.l information on appropr,ately labeleO cont,nua~lon sheets (Number of p~ n~ched __ <br /> <br /> VERIFI~ ON <br /> I HAVE 'USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT I HAVE REVIEWED THE STATEMENT AND TO THE BEST O~ MY <br /> KNOWLEDGE THE INFORMATION CONTAINED HEREIN AND IN THE A~ACHED SCHEDULES IS TRUE AND COMPLETE. <br /> ~ CERTIFY UN~ER PENALT~ OF PERJU~UNDER THE ~W~OF THE STATE O~LIFORNIA ~HAT THE FOREGOING IS TRUE AND CORRECT <br /> <br /> A ~N~AT' [. OFF~HOLDER OR STATE ~EASU~[ ~O~NENT WHO CONSOL5 A CO~[[ ~ST A~O VE~FYTHIS <br /> A~ENDMENTTO THE ~X~ STATEMENT <br /> <br /> I HAVE USED ALL REASONABLE DILIGENCE. AND TO THE BEST OF MY K~WL[DGE. THE TREASURER HAS uSED ALL REASONA8L~ <br /> DILIGE~[ IN PREPARING THIS STATEMENT ~ ~AV[ REVIEWED THE STATEMENT AND TO THE BEST OF <br /> IN~R~T~N CONTAINED HEREIN AND IN THE A~ACHED SCHEDULES 15 TRUE AND COMPLETE. <br /> <br /> I CERTIFY UNDER P~ALTY OF PERJU~ UNDER THE ~ OF THE STATE OF ~LI~RNI~ THAT THE ~REGOING IS TRUE AND <br /> <br /> EXECUTED ON ~T BY <br /> j EXECUTED ON ~T BY <br /> <br /> -1 <br /> <br /> <br />