Laserfiche WebLink
COVER PAGE - LONG FORM <br />Recipient Committee Date Stamp <br />Campaign Statement <br />(Government Code Sections 84200 - 84216.5) ~[~1~ [~ ~ Page 1of 12 <br /> Statementcovempeliod Date of Election if applicable: OCT 2 3 Z003 A For Official Use Only <br /> fl~m 10/01/2003 (Month, Day, Year) <br /> through 10/18/2003 11/04/2003 C~TYOFREDWOODCITYciTY CLERK <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 marily Formed Candidate <br /> O Small Contributor Committee Officeholder Committee <br /> O Political Party/Central Committee <br /> <br />3. Committee Information ,.0. NDMSER Treasurer(s) <br /> 950888 <br /> COMMITTEE NAME NAME OF TREASURER <br /> Citizens to Re-elect Ruskin Ash Pirayou <br /> STREET ADDRESS <br /> <br /> STREET ADDRESS (NO P.O. BOX) <br /> <br /> C~TY STATE ZIPCODE AREACODE/PHONE <br /> San Jose CA 95113 ( <br /> CITY STATE ZIP CODE AREA COOFJPHONE <br /> Redwood City CA 94061 ( NAMEOFASSISTANTTREASURER, IFANY <br /> <br /> STREET ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br /> STREET ADDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> CI~Y STATE ZIP CODE AREA CODE/PHONE <br /> <br /> OPTIONAL: FAYJE-MAIL ADDRESS ( ) <br /> ( / OPTIONAL; FAYJE-MAIL ADDRESS <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 an~l in the a~ached schedules <br /> is true and complete. I certify under penalty of perjury under the laws of the State of Californ~Ft?l'at4~e foregoing is true and correct m /'~ I / <br /> /2/ ~DATE'/~J 3 ~ \ SIGN~URE/~ ~'"'~0~ TREASURER OR/A,~ISTANT ;[ R EAS~tJ RERJ -- __g <br /> Executed on By ~ ~ ,,' .___~_~_~~_._. <br /> / DC s~.~,u~F CO.TROLL,.--~FF.C¢O%~:_CAND,OATE, STATE...~.~ ..... ~.~-O~ESPONS,SLE OFF,CER CE SRONSOR <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br /> <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDtDATE, STATE MEASURE PROPONENT <br /> <br />S/CCW - PCAB05 01380 (Rev. 9/99) State of California Fair Political Practices Commission. <br /> <br /> <br />