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Recipient Committee <br /> Campaign Statement <br /> Cover Page <br /> (Government Code Sections 84200-84216.5) <br /> Type or print in ink. <br /> Skatement covers period <br /> from 7/1/04 <br /> SEE INSTRUCTIONS ON REVERSE I through 12/31/04 <br /> l <br /> 1. Type of Recipient Committee: au co�rtcees-co►�i���Pa��,2,3,and 4. <br /> � Officeholder,Candidate Controlled Committee ❑ Baliot Measure Committee <br /> Q State Candidate Election Committee <br /> Q Recail <br /> (Also Complela Pa�t5) <br /> ❑ General Purpose Committee <br /> Q Sponsored <br /> Q SmallContributorCommittee <br /> Q PolRical PartyiCentralCommittee <br /> 3. Committee Information <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO <br /> Committee to Elect Barbara Pierce <br /> STREET ADDRESS (NO P.O. BOX) <br /> <br /> Q Primarily Formed <br /> Q Controlled <br /> Q Spo�sored <br /> (Also Complate Part 6) <br /> � PrimarilyFormedCandidatel <br /> Officeholder Committee <br /> (Also Cdnpkte Part 7) <br /> I.D. NUMBER <br /> 990750 <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94061 <br /> MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX/ E-MAIL ADORESS <br /> 4. Verification <br /> COVER PAGE <br /> Date Stamp <br /> �} (`l �r � ��, �;a � <br /> F�f ��; g �� L; ,: •� <br /> �.____.,�_ � <br /> Date of election if applica 1 5 <br /> (Month, Day,Year) �1�� � � ��[}4t 9e of <br /> For Official Use Only <br /> ITY OF REDWOOD CIT <br /> CITY CLERK <br /> 2. Type of Statement: <br /> ❑ PreelectionStatement � Quarteriy Statement <br /> �J Semi-annualStatement � Special Odd-Year Report <br /> � Termination Statement � Supplemental Preelection <br /> ❑ Amendment(Explein below) Statement-Attach Form 495 <br /> Treasurer(s) <br /> NAME OF TREASURER <br /> Danielle L. Del Carlo <br /> MAILING ADDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODElPHONE <br /> Redwood City CA 94062 <br /> NAME OF ASSISTANT TREASURER, IF ANY <br /> MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX I E-MAIL ADDRESS <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 that the foregoipg is true and oouect. „ ,� ,; /? , <br /> 1/31/05 <br /> Executed on <br /> Dabe <br /> Executed on 1/31/05 <br /> �� <br /> Executed on <br /> Date <br /> ey <br /> By <br /> By <br /> SlgnaWre of ControYing Officehokler,Candidate,Sbte Measwe Proporerd <br /> 6cecutedon � By SgneWreofControBirgOtficeholder,Candidaie,S�t�MeasweProponert FPPCForm460(Junel0l) <br /> FPPC Toll-Free Helpline:8661ASK-FPPC <br /> State of Califania <br />