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� . <br /> Reci ient Committee COVER PAGE <br /> Campaign Statement Type or print in ink. Date Stamp , � _ <br /> � � • 1 <br /> . - <br /> Cover Page <br /> ED <br /> (Government Code Sections 84200-84216.5) �,���� ge � of 4 <br /> Statement covers period Date of election if ap icable. <br /> from ��1�2�10 (Month, Day, Yea ' � .� 2011 For Official Use Only <br /> �AI <br /> �;1{d V <br /> SEE INSTRUCTIONS ON REVERSE through 12�31/2010 ����`�W�(�p C�N <br /> C:• <br /> 1. Type of Recipient Committee: All Committees—Complete Parts 1,s,s,and 4. Z. Type of Statem nt: �' ���� <br /> ,�,,�.,:.,.�"�..-� .. <br /> � Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Stat ment � Quarterly Statement <br /> Q State Candidate Election Committee Committee � Semi-annual Statement ❑ Special Odd-Year Report <br /> Q Recall Q Controlled � Termination Statement ❑ Supplemental Preelection <br /> (AlsoCompletePart5) Q Sponsored Also file a Form 410 Termination <br /> ( ) Statement-Attach Form 495 <br /> (A/so Complete Part 6) <br /> ❑ General Purpose Committee ❑ Amendment(Explain below) <br /> Q Sponsored � Primarily Formed Candidate/ <br /> Q Small Contributor Committee Officeholder Committee <br /> Q PoliticalParty/CentralCommittee (AlsoCompletePaR7) <br /> 3. Committee Information �•D. NUMBER Treasurer(s) <br /> 990750 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Committee To Elect Barbara Pierce Danielle L. Del Carlo <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94062 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> Redwood City CA 94061 <br /> MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE 21P 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 the information 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 rrect. 4 <br /> Executed on � �� �D� By <br /> D Signffiu fT surerorAssistantTreasu2r <br /> n - <br /> Executed on � By � <br /> D Sig atureofConVollingOfficeholder,Candidate,StateMeasure nentorResponsible0fficerofSponsor <br /> Executed on BY <br /> Date Signature of Controlling Officeholder,Candidate,State Measure Proponent <br /> Executed on By <br /> Date Signature of Controlling Officeholder,Candidate,State Measure Proponent pppC Porm 460(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br /> State of California <br />