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� <br /> r - I <br /> , :b. <br /> COVER PAGE <br /> � . Reci ient Committee <br /> p Type or print in ink a e amp <br /> Campaign Statement E C E I V E D •�� � ' � <br /> Cover Page <br /> (Govemment Code Sections 84200 84216 5) Q Pe9 1 of 3 <br /> Statement covers period Date of electiqn if ap icable: JAN 2 O 2011 <br /> from <br /> 7/1/2010 (Month, Day,Yea For Official Use Only <br /> ITY OF REDWOOD CITY <br /> SEE INSTRUCT ONS ON REVERSE through 12/31/10 C�TY CLERK <br /> 1 Type of Recipient Committee: a Committees Comp ete Parts 1,z,s,and 4 Z Type of Statement: <br /> � O�ceho'der,Candidate Contro ed Committee ❑ Primari y Formed Ba ot Measure ❑ Preelection Statement ❑ Quarteriy Statement <br /> Q State Candidate E ection Committee Committee � Semi annua Statement ❑ Speciai Odd�Year Report <br /> Q Reca � Contro ed � Termination Statement <br /> (AlsoCompdetePartS) S onsored ❑ Supp�ementa����PreePection <br /> � P (A so file a Form 410 Termination) Statement Attach Form 495 <br /> (Also Complete Part 6) <br /> ❑ Genera Purpose Committee ❑ Amendment(Exp ain be ow) <br /> Q Sponsored � Primari y Formed Candidate/ <br /> Q Sma' Contributor Committee Officeho der Committee <br /> Q Po'itica'Party/Centra Committee (AlsoCompletePart7) <br /> 3 Committee nformation D NUMBER Treasurer(s) <br /> 1253171 <br /> COMM TTEE NAME(OR CAND DATE'S NAME F NO COMM TTEE) NAME OF TREASURER <br /> ROSANNE FOUST FOR CITY COUNCIL RICHARD S. CLAIRE <br /> MA L'NG ADDRESS <br /> SAME <br /> STREETADDRESS (NO PO BOX) C TY STATE Z'P CODE AREA CODE/PHONE <br /> <br /> C TV STATE Z P CODE AREA CODE/PHONE NAME OF ASS STANT TREASURER, F ANV <br /> REDWOOD CITY CA 94062 <br /> MA L NG ADDRESS (F D FFERENT) NO AND STREET OR P 0 BOX MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE C TY STATE Z P CODE AREA COQE/PHONE <br /> OPT'DNAL FAX/E MA L ADDRESS OPT ONAL: FAX/E MA:L ADDRESS <br /> 4 Verification <br /> have used a reasonab e di igence in preparing and reviewing this statement and to the best of my know edge the information contained herein and in the attached sohedu:es is true and comp ete !certify <br /> under pena ty of perjury under the aws of the State of Ca ifornia that the foregoing is true and c�� <br /> Executed on-----�a���-- By 6C � . <br /> ' atureofTreasurero ssistantTreasurer <br /> Executed on � � BY � <br /> ate Signature ofContro ing 01fice o'der,Candidate,State Measure Proponent or Responsib e Otficer of Sponsot <br /> B <br /> EXBCUted 0� Date y Signature o}Contm ing Officeho der,Candidate,State Measure Proponent <br /> Executed on BY <br /> Date Sgnature ofContro ing OTficeho der,Candidate,State Measure Proponent FppC Fortn 460(Januaryl05) <br /> FPPC To' Free Weipfine:8681ASK PPPC(86W275-3772) <br /> State of Ca'Jfo�nia <br />