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COVER PAGE <br /> <br />Recipient Committee Type or print in ink. Date Stamp <br /> <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-~4216.5) <br /> covers period Date of election if appgcable: <br /> (Month, Day, Year) JUL 3 1 Z003 <br /> ): F-/~,~. For Official Use Only <br /> REDWOOD CiTY <br /> <br />SEE INSTRUCTIONS ON REVERSE through CITY CLERK <br /> <br />1. Type of Recipient CommiUee: A, Commme.s - Complete Par~s t, 2, 3, and 4. 2. 'Type of States, ant: <br /> <br /> [] Officeholder, Candidate ContrOlled Committee [] Ballot Measure Committee [] Preelection Statement [] Quarterly StAt, ment <br /> O StateCandidateEtectionCommittee O PrimadlyFormed [] Semi-annualStatement [] Special Cdd-Year Repod <br /> O Recall O Controlled [] Termination Statement [] Supplemental Preelection <br /> (AlsoCo:wplatePatt5) O Sponsored [] Amendment (Explain below) Statement - Altach Form 495 <br /> (Also Co~pJete Pa~l 6) <br /> <br /> General Purpose Committee <br /> [] O Sponsored [] Primarily Formed Candidate/ <br /> Officeholder Committee <br /> 0 Smati Contributor Committee (AIsoC~pk~tePartT) <br /> 0 Political Party/Central Committee <br /> <br /> 3. Committeelnformation II.D'NUMRF~ ~,~/..~}~ Treasurer(s) <br /> OF T EASURER <br /> COMM,TTEE NAME <OR CAND,DATE'S NAME'r"O COMM''EE' ' .AME <br /> <br /> ADDRESS (NO P.O. BOX) o ~ ~*~ ,~/~ CITY STATE ZIP CODE AREA CODE/PHONE <br /> STREET <br /> <br /> ST E ZiP COnE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> C,TY <br /> <br /> MAILING ADDRESS (IF DIFFERENT) NO. ANI~. STREET OR P.O. 'R MAILING AnDRESS <br /> <br /> CITY STATE ZiP COnE AREA CODE/PHONE CITY STATE ZiP CODE AREA CODE/PHONE <br /> OPTIONAL; FAX / E-MAIL ADDRESS QI~TIONAL: FAX / E-MAIL ADDRESS <br /> <br /> 4. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best,hr r~rmation contained herein and iR the attached schedules is thee and complete. I <br /> certify under penalty of penury under the laws of the State of California that the foregoing is true <br /> Executed on ~ ,~/O~ By <br /> <br /> <br />