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COVER PAGE - LONG FORM <br />Recipient Committee oate Stamp <br />Campaign Statement <br /> <br />(Government Code Sections 84200 - 84216.5) ~. of ? <br /> I s~.~=o.~,..~ o.~=.~o.,.,~u.: JUL 3 1 Z003 A ForOffiolalUseOnly <br /> fram 01/01/'2003 (Mon~, Day, Yea~ CITY OF REDWOOD CIT~ <br /> ~m~gh 06/30/2003 11/03/2003 CITY CLERK <br /> <br />1. Type of Recipient Committee: 2. Type of Statement: <br /> [] Officeholder, Candidate Controlled Committee [] Ballot Measure Committee [] Pre-election Statement [] Quarterly Statement <br /> O State Candidate Election Committee O Primarily Formed [] Semi-annual Statement [] Special Odd-Year Report <br /> O Recall O Controlled [] Termination Statement [] Supplemental Pre-election <br /> O Sponsored [] Amendment (Explain below) Statement - Attach Form 495 <br />[] General Purpose Committee <br />O Sponsored [] Pdmadly Formed Candidate <br />O Small Contributor Committee Officeholder Committee <br />O Political Parb//Centml Committee <br />3. Committee Information I ~S"0u~E~ Treasurer(s) <br /> <br /> Citizens to Re-elect Ruskin Ash Pirayou <br /> <br /> STREETADDRE~(NOPOBOX} <br /> <br /> San Jose CA 95113 ( <br /> <br /> Redwood City CA 94061 EOFASS~STA~T~E~SUP~R.~FANY <br /> <br /> ( OPTIONAL: FAX/E-MAJ L AD DRESS <br /> <br />4. Verification <br /> i have used a diligence in preparing and reviewing this statement and to the/~st of my kn~l~e the information contai d in the attached schedules <br /> is tru . I cerfi~/undO' penalty of perjury under the laws of the State of Cali~.~a that the ~regoing is true and correct. <br /> <br />S/CCW - PCAB05 01380 (Rev. 9/99) State of California Fair Political Practices Commission. <br /> <br /> <br />