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Schedule C Type or print in ink. SCHEDULE C <br /> Amounts may be rounded Statement covers ri <br /> NonmonetaryContributionsReceived towholedollars. � °a . . , � � <br /> from 9/21/03 • - <br /> SEE INSTRUCTIONS ON REVERSE <br /> through 10/18/03 page � of 9 <br /> NAME OF FILER I.D.NUMBER <br /> Committee to Elect lan Bain 1255762 <br /> IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO <br /> FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE PER ELECTION <br /> DATE OCCUPATION AND EMPLOYER FAIR MARKET <br /> RECEIVED Z�P CODE OF CONTRIBUTOR CODE 'k (IF SEIF-EMPLOVED,ENTER GOODS OR SERVICES CALENDAR YEAR TO DATE <br /> (IF COMMITfEE,ALSO EMER I.D.NUMBER) VALUE (IF REQUIRED� <br /> NAME OF BUSINESS) (JAN 1-DEC 31) <br /> 10/18/03 John Anagnostou ���M Real Estate Use of 300 300 <br /> ❑oTH Forrester's Hall <br /> Redwood City, CA 94063 �P�, <br /> ❑SCC <br /> 10/18/03 Janet Borgens mIND geautician, Beauty Food and utensils <br /> ��� Wheel 150 150 <br /> Redwood City, CA 94063 �P�, <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑� <br /> ❑orH <br /> ❑Prv <br /> ❑scc <br /> Attach additional information on appropriately labeled continuation sheets. SUBTOTAL E 450 � _ <br /> Schedule C Summary 'ContributorCodes <br /> 1. Amount received this period-nonmonetary contributions of$100 or more. iNO-tr,d+��duai <br /> (Include all Schedule C subtotals.) $ 450 coM-Recipient Comminee <br /> ..................................................................................................................... (other than PTY or SCC) <br /> . . p OTH—Other <br /> 2. Amount received this period-unitemized nonmonetary contributions of less than$100 ....................................$ pTy_political Party <br /> 3. Total nonmonetary contributions received this period. scc-smau convibuwr comm�ttee <br /> Add Lines 1 and 2. Enter here and on the Summa Pa e Column A, Lines 4 and 10. 150 <br /> < <Y 9 , ) ......................TOTAL S <br /> FPPC Form 460 (June/01) <br /> FPPC Toll-Free Helpline: 86WASK-FPPC <br />