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COVER FAGE <br />'"' '--' 'r~ec,pien[ Committee Type or print in ink. Date Stamp <br />Campaign Statement ~..¥ ~ <br />Cover Page Il ~ I?, ¢. ~ ~i!i ]~ <br />(Govemment C~e Se~ions ~200-~216.5) 8tat~t ~o~*r8 p*riod ~ate o, o,~tion i, ~,ieab,l ~ <br /> from ~//~Z (Mon~,Day, Year) ge~ 0 ~ 2003 ~ Page / of <br /> For ~cial Use Onl~ <br /> <br /> / CITY OF REDWOOD <br />SEE INSTRUCTIONS ON REVERSE through /~ .~ ~ C TY CLERK <br /> <br />1. Type of Recipient Commi~ee: All Commi~e~s - Compl~le PaAs 1, 2, a, a~d 4. 2. Type of Statement: <br /> ~lder, ~ndidate ~ntmll~ C~m~ ~ ~llot Me~um ~mm~ ~ ~l~on ~ Quadedy S~tement <br /> State~nt <br /> O S~ ~ida~ EI¢ ~mm~ O Pd~dly F~ ~ Semiannual S~tement ~ S~dal ~d-Year Re~ <br /> O R~II O ~n~lled ~ Te~ina~ S~tement ~ Su~lemen~l Pr~ <br /> (~ ~ ~ s) 0 Sponsored <br /> ~ ~ P~ 6) D Amendment (Explain ~low) S~tement - A~a~ Form 495 <br /> ~ General Pu~ ~mmi~ee <br /> O Sponsor~ ~ Pd~dly F~ ~ndidate/ <br /> O ~all ~nMbutor ~m~ ~lder CommiEee <br /> O Poli~l Pa~/Cen~l ~mm~ f~ ~ P~ ~ <br /> <br />3. Committee Information ~ I.D. NUMBER <br /> Treasurer(s) <br /> <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 <br />certify under penalty of perjury under the laws of the State of California that the foregoing is J~lJe and correct. <br /> Executed on ~'~/-~/~) ~ By ~ ~ <br /> 7¢~0 ~ --~ ~_ ~i~7~reasum. r ~nt.T ...... <br /> Executed on / By '~ /~"- ~ ~'- <br /> S~jnatum ~f Cc~b~ling Officeholder, C~'f~idate, State Measure Prof~o~ent or Respoqsibte Officer o~ Soo~sor <br /> <br /> Executed on By <br /> <br /> Executed on Date By Signature of Co.trailing O~cehc~der, Ca~idate, State Meas~e Prcfxment FPPC Form 466 (Junel0t) <br /> FPPC Toll*Free Helpline: 8661ASK-FPPC <br /> Slate of California <br /> <br /> <br />