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Recipient Committee <br />Campaign Statement <br />Cover Page <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />from January 1,2020 <br />through June 30, 2020 <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br />Q Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure <br />0 State Candidate Election Committee Committee <br />0 Recall 0 Controlled <br />(Also Complete Part 5) 0 Sponsored <br />(Also Complete Part B) <br />ElGeneral Purpose Committee <br />0 Sponsored ❑ Primarily Formed Candidate/ <br />0 Small Contributor Committee Officeholder Committee <br />0 Political Party/Central Committee (Also Complete Part 7) <br />3. Committee Information <br />I.D. NUMBER <br />1374422 <br />:OMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Committee to Elect Janet Borgens for City Council 2015 <br />STREET ADDRESS (NO P.O. BOX) <br />18 Yarnal Place <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Redwood City CA 94063 (650) 364-2747 <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX/ E-MAILADDRESS <br />RECEIVED <br />Date of election if applii <br />(Month, Day, Year) <br />COVER PAGE <br />Page 1 of 8 <br />or Official Use Only <br />City of Redwood Cit <br />Cit ClQik <br />2. Type of Statement: <br />❑ Preelection Statement ❑ Quarterly Statement <br />Semi-annual Statement ❑ Special Odd -Year Report <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />Treasurer(s) <br />NAME OF TREASURER <br />Hollis Matheny <br />MAILING ADDRESS <br />1367 S Country Club Drive Unit #1149 <br />CITY STATE ZIP CODE AREACODEIPHONE <br />Mesa <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY <br />OPTIONAL: FAX/ E-MAIL ADDRESS <br />AZ 85210 (408) 242-6815 <br />STATE ZIP CODE AREACODE/PHONE <br />4. Verification <br />I have used all reasonable diligence In preparing and reviewing this statement and to the best of my knowledge the int ation contained herein and in the attached schedules is true and complete. I <br />certify under penalty ofperjuryunder the laws of the State of California that the foregoing { true and correct. <br />Executed on r e By <br />F3aiaIr, Sig of r ure .or ialant Treasurer <br />Executed onBy <br />Date nature of ContmUlng oMcohitger, an Ida tate Measure Proponent or Responsible O cer 0 Sponsor <br />Executed on By <br />Dale Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />Executed on By <br />Date Signature of Controlling Officeholder, Candidate, Slate Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc,ca.gov (866/275-3772) <br />wurw fnnr ra onto <br />