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<br /> COVER PAGE - LONG FORM <br />Recipient Committee <br />Campaign Statement <br />(Govemment Code Section, 84200 - 84216.5) Page lof 6 <br /> -"""""'- Datø of Election if _õca"', CITY OF REDWOOD CITY A For Official Use Only <br /> from 01/18/2004 I-, Day, Yoorj CITY CLERK <br /> through 02/14/2004 N/. <br />1. Type of Recipient Committee: 2. Type of Statement: <br />00 Officeholder. Candidate Controlled Commi"ee 0 Ballot Measure Committee ~ Pre-election Statement 0 Quarterly Statement <br />0 State Candidate Election Committee 0 Primarily Formed 0 Semi-annual Statement 0 Special Odd-Year Report <br />0 Recall 0 Controlled 0 Termination Statement 0 Supplemental Pre-election <br /> 0 Sponsored 0 Amendment (Explain below) Statement - Attach Form 495 <br />0 General Purpose Committee <br />0 Sponsored 0 Primarily Formed Candidate <br />0 Small Contributor Committee Officeholder Committee <br />0 Political Party/Central Committee <br />3. Committee Information 1.0. NUMBER Treasurer(s) <br /> 950888 <br />COMMITTEE NAME NAME OF TREASURER <br />Citizens to Re-elect Ruskin Ash Pirayou <br /> STREET AOORESS <br />STREET AOORESS (NO PO BOX) <br /> CITY STATE ZIPCOOE AREA COOEIPHONE <br />CITY STATE ZIP COOE <br /> NAME OF ASSISTANT TREASURER, IF Am <br />STREET ACDRESS {IF OIFFERENT] NO, AND STREET OR PO OOX <br /> STREET ACDRESS <br />CITY STATE ZIPCOOE AREA COOEIPHONE <br /> CITY STATE ZIPCOOE AREA CODE/PHONE <br /> <br /> OPTIONAL FAXIE.MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to th stolm kno dge the inlonmation contained herein and in the attached schedules <br />is true and complete, I certi unde penalty 01 pe~ury under the laws 01 the State 01 C or 'ath oregolng is true and correct. <br /> Execoted on By <br /> ANT TREASURER <br /> Execoted on By <br /> ExBcoted on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLOER, CANOIDATE, STATE MEASURE PROPONENT <br /> ExBcoted on By <br /> OATE SIGNATURE OF CONTROLLING OFFICEHOLOER, CANOIDATE, STATE MEASURE PROPONENT <br />S/CCW - PCAB05 01380 (Rev. 9/99) State of Calilornla Fair Political Practices Commission. <br />