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Recipient Committee <br />COVER PAGE <br />Campaign Statement <br />LALIM11A <br />40§0 <br />Cover Page <br />RECEIVEDF:ORM <br />Statement covers period <br />Date of election if applic ble: Pag 1 of 4 <br />Day, Year) JAN 2 9 2018 <br />7/1/17 <br />(Month, For Official Use Only <br />from <br />12/31/17 <br />City of Redwood City <br />SEE INSTRUCTIONS ON REVERSE <br />through <br />f City Clerk <br />1. Type of Recipient Committee: All committees - Complete Parts f, 2, 3, and 4. <br />2. Type of Statement: <br />m Officeholder, Candidate Controlled Committee ❑ <br />Primarily Formed Ballot Measure <br />❑ Preelection Statement ❑ Quarterly Statement <br />0 State Candidate Election Committee <br />Committee <br />Ev? Semi-annual Statement ❑ <br />O Recall <br />O Controlled <br />Special Odd -Year Report <br />❑ <br />(Also Complete Pen5) <br />O Sponsored <br />Termination Statement <br />(Also file a Form 410 Termination) <br />El General Purpose Committee <br />(Pko Canp'ete Part 6) <br />❑ Amendment (Explain below) <br />O Sponsored ❑ <br />Primarily Formed Candidate/ <br />O Small Contributor Committee <br />Officeholder Committee <br />O Political Party/Central Committee <br />(Also cemptelePed 7) <br />3. Committee Information <br />I.D. NUMBER <br />Treasurer(s) <br />1313963 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />NAME OF TREASURER <br />JOHN SEYBERT FOR CITY COUNCIL 2013 <br />RICHARD S. CLAIRE <br />MAILINGADDRESS <br /> <br />STREETADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br />REDWOOD CITY CA 94062 <br />CITY STATE ZIP CODE <br /> <br /> <br /> <br />MAILINGADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />MAILINGADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />4. <br />OPTIONAL. FAX/E-MAILADDRESS <br />OPTIONALFAX/E-MAILADDRESS <br />Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I <br />certify under penalty of perjury under the laws of the State of California [hat the foregoing n-mld." <br />Executed on 1/26/2018 Bye surero to suExecuted on �`F+Date/ BySg lure Male, SI a sur raponent or Responsible Officer of Sponsor <br />Executed on B" <br />Dale <br />Executed on B" <br />Date <br />State Measure Proponent <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />