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~~ AMENDMENT TO CAMPAIGN DISCLOSURE STATEMENT <br /> <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 C TY <br /> Organization, use the Form 410.. . . TY <br /> <br /> FORM 405 (TyPe or Print in Ink) <br /> 1990 ' FOR OFFICIAL USE ONLY <br /> A <br /> <br /> I. The information required in Section I must correspond to the information provided <br /> on the campaign statement. <br /> -NAME OF FILER: (See important mformat~on 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 />' Redwood City CA 94063 ( <br /> <br /> NAME OF TREASURER IF RECIPIENT COMMI'I~I'EE: <br /> Dorothy Buchan <br /> PE RI~ANENT ADDRESS OF TREASURER (IF APPLICABLE); 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 No. 490 ' , Executed on <br /> /,~ '/~" ~ ' for the period ~,~/~'°'~ throug~ ~'~/.~ '/~ <br /> I~0.. DA'r. YR.) <br /> <br /> III. The amended reformation affects items on the: <br /> r'-] Cover Page [] Allocation Page , [] Summary Page <br /> J-'] Schedule(s) J'-I Part(s) <br /> <br /> IV. Describe the ct~anges below. Include in detail all information, you wish to become a pan of your official campaign <br /> statement, Also a~ach a ?.over page, summary page or appropriate schedule if needed for clarifica:ion. <br /> <br /> Math corrections ' ' <br /> <br /> Include adchtlon~,l inform~uon on -~DDroDn:'tely I:,beleO con~mu~Uon sheets (NumBer of D~g~ n~nc~ed , ) <br /> VERIFI~ON <br /> I HAVE USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT t HAVE REVIEWED THE STATEMENT AND TO THE 815T OF MY <br /> KNOWLEDGE THE INFORMATION CONTAINED HEREIN AND IN THE A~ACHED SCHEDULES IS TRUE AND COMPLETE. <br /> I CERTIFY UN~R PEN~LT~ OF PERJU~UNDER T~E~wS OF THE STATE ~LIFO~IA ~AT THE FOREGOING IS TRUE AND CORRECT <br /> <br /> A ~N~AT[, OFF~[HOLDER O~ STAT[ ~[ASUA[ ~O~N[NT WHO CONSOL5 A CO~E[ ~ST A~O VE~FY TH~S <br /> AMENDMENT TO THE ~A~ <br /> <br /> I ~AV[ USeD ALL ~EASONAaLE DILJGENC~. AND TO TH~ BEST OF MY K~WLSDG~. TH~ TREASURER ~S uSeD ALL <br /> DILIG~E IN PREPARING THIS STATEMENT I ,AV~ REVIEWED THE STATEmeNT AND TO THE BEST OF MY ~NOWL~DGE T~[ <br /> IN~R~T~N CONTAINED HEREIN AND IN THE A~ACHED SCHEDULES IS TRUE AND COMPLETE. <br /> I C~RTIFY UNDER PENALTY OF PERJuR~ND~R THE ~ OF THE STATE ~ ~LI~R~IA THAT THE ~REGOING 15 TRUE AND <br /> <br /> ~X~CUT[D ON ~T <br /> EXECUTED ON AT ~Y <br /> <br /> <br />