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COVER PAGE - LONG FORM <br /> Recipient Committee [].~ a~e~ <br />' Campaign Statement ~ C ~ ~ ~ ~ ~ <br /> (Govemment Code Sections 84200 - 84216.5) JAN'~ 3 2004 ~j Page i of <br /> <br /> Statement covers p~iod Dal~°fElecti°nifapf~ic~l~"l] 01- REDWOOD CITY A ForOfficial UseOnly <br /> /-' <br /> from 10/19/2003 (l~,Day, Y~ar) / CITYCLERK , <br /> <br /> through 12/31/2003 11/04/2003 <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 <br /> below) Statement - Attach Form 495 <br /> [] General Purpose Committee <br /> O Sponsored [] Primarily Formed Candidate <br /> O Small Contributor Committee Officeholder Committee <br /> O Political Party/Central Committee <br /> <br /> 3. Committee Information ID. NUMBER Treasurer(s) <br /> 950888 <br /> <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 /> CITY STATE ZIPCODE AREACODE/PHONE <br /> San Jose CA 95113 ( <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94061 ( NAMEOFASSISTANTTREASURER, IFANY <br /> <br /> STREET ADDRESS (IF DIFFERENT) NO. AND STREET OR PO. BOY, <br /> STREET ADDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br /> <br /> / OPTIONAL: 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 of my knowledge the information contained he~'~'~ the attached schedules <br /> is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and corr, e'~t./~ <br /> <br /> .z ¢ .DATE % ~ SIGNATURE~F~SURERORASSI~S~T~NTTII~EASURER~ ' ~- <br /> <br /> "/ / DAlE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER O <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, CANDIDATE, STATE MEASURE PROPONENT <br /> <br /> S/CCW - PCAB05 01380 (Rev. 9/99) State of California Fair Political Practices Commission. <br /> <br /> <br />