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Recipient Committee COVER <br /> PAGE <br /> Type or print in ink. <br /> Cam p ai g n Statement R t yE ,RgC 1 CALIFORNIA 460 <br /> F(�R M �}V <br /> Cover Page <br /> (Government Code Sections 84200-84216.5) JUL 2 9 2014 Page 1 of 5 <br /> Statement covers period Date of election if applicable: <br /> 1/1/14 (Month, Day, Year) F., Official Use Only <br /> from CITY OF REDWOOD CITv <br /> 6/30/14 CITY CLERK <br /> SEE INSTRUCTIONS ON REVERSE through <- <br /> 1. Type of Recipient Committee: All Committees—Complete Pads 1,2,3,and 4. 2. Type of Statement: <br /> ® Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement <br /> O State Candidate Election Committee Committee ® Semi-annual Statement <br /> Q Recall 0 Controlled Termination Statement ❑ Special Supplemental Pre Report <br /> (Also Complete Part 5) 0 Sponsored ❑ (Also file a Form 410 Termination) ❑ S atement-Attach tack Form <br /> (Also Complete Part 6) <br /> ( ) Statement-Attach Form 495 <br /> ❑ General Purpose Committee ❑ Amendment(Explain below) <br /> Q Sponsored ❑ Primarily Formed Candidate/ <br /> 0 Small Contributor Committee Officeholder Committee <br /> Q Political Party/Central Committee (Also CompletePaR7) <br /> 1 3. Committee Information I.D. NUMBER Treasurer(s) <br /> 1313963 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> JOHN SEYBERT FOR CITY COUNCIL 2013 RICHARD S. CLAIRE <br /> MAILING ADDRESS <br /> SAME <br /> STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> REDWOOD CITY CA 94062 NA <br /> MAILING ADDRESS(IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS <br /> SAME <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS <br /> 4. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge th-• for ation contained herein and in the attached schedules is true and complete. I certify <br /> under penalty of perjury under the laws of the State of California that the foregoing is true and Corr��� �!/� ("4,*Executed on 7/12/14 By 4 � • <br /> Date surer <br /> Executed on rI By <br /> /;.: • g• r"r j1j.nentorResPonehleOircerotSPonsur <br /> Executed on By AWI <br /> Date Signature'? .•• g•^.. older,Candd:'_ •-e Measure Proponent <br /> Executed on By <br /> Date Signature ol`Controling Officeholder,Candilate,State Meastne Proponent . <br /> FPPC Form 460(January1o5) <br /> FPPC Toll-Free Helpline:866IASK-FPPC(866/275-3772) <br /> State of California <br />