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�GCI(�{�ii'��t?�"#"#t�lt$tEQ <br /> Campaign��tement <br /> Ca�re�°Fag� <br /> iGoveenmer?Code Sectiors 84;c0^v-84216.5) <br /> Type or prinf in ink. <br /> Statement eovers �erio�! Date of election if a�S�tEicabEe: <br /> 7/1/05 (�1��th, Day,Ycar) <br /> from <br /> s�e it:srr,-ucra�s c�ri r•eti�ERS� t�tau�� 12/31/05 <br /> 'I. T}/�?6 O�F:@CIE7E�Flt COiTti"tll�2�: Ail CommiElaes—Complete Paris 1,s,a,aRa a. <br /> � Officeholder,Candid2Ye CartroiEed CommiLLee - BaElat Measure G�mmitEee <br /> f; Slate Candida!e Eleciion Com�rittee � Primarily rc�med <br /> (j Re..ail � ControEled <br /> �a�s�,Cc:n'•letePan_'% � Sponsored <br /> ('AJso Ccm;+�ie r'ar Ei <br /> � General Purpose Cammi!!ee <br /> (; Sponsored <br /> (�Smali Centrib�tar Gommittea <br /> (� i'oliticaE Pariy/Centrai Committea <br /> � Primari?y Formed Car:didate! <br /> �cehalder Commttee <br /> (at,=canplere P_rt 7) <br /> 3. Commit#ee Informatian I.D. NU�,SBI=s: <br /> 1255762 <br /> CQM19MITTE=!JA`,AE(CR C,N�iID.AI c S NAYE IF"aG CCIv'?�11TTEEl <br /> Committee to Elect lan Bain <br /> :tl-F2f=1E:'i� AJI�F2i=:5:S(NO FtO. i30Xj <br /> <br /> CiTY S:'.ATE ZIP CuD� P,°EA CODEiPNON� <br /> Redwood City CA 94061 <br /> PAr?LIN� ACDRESS;;F DIFFER-NTi NO. A^!D STREET CR F.O. BOY <br /> CiTY ��A�E Z;P COD� P,°=P, C�D�fPHON� <br /> 11/4/03 <br /> 2. Type of Statement: <br /> ❑ ?reelsctiun Statemsn; <br /> � Semi-arnuaE Stateme�t <br /> ❑ Terminatian Statemert <br /> ❑ r�mendment(Expiain beEc�v) <br /> Treasurer(s) <br /> Da:e St�ma <br /> , c .;J <br /> C�CVER Pf�.GE <br /> Fage � of? <br /> Fc;p^iciai i,se Cn!Y <br /> ,_, �4a_�teriy Sta:ement <br /> i Special Odd-Year Repart <br /> _ Sup�lemertal Freeiec:ion <br /> Sta?ement-Attach Form 495 <br /> N�.P,1E° OP"fRE=A.S'URi=:h' <br /> Nancy Bain <br /> ti'AILi^.G .ACDRESS <br /> <br /> :;I'f Y S'fAi�£: LIP::ODi=: NRE=p ;;��DIE;PHOfdf_i <br /> Redwood City CA 94061 <br /> NAME:OF HS:318TP.�;� Tf?I=:;\SURE=f?, �F ANY <br /> MAIL�tdG HDDRE:SS <br /> CITY �Tft?� ZIP�ODc .RE,�GLIE;FHvNE <br /> <i�'fIOfJHI_: f=,4h!E?-P::Aii.AL�Di2E:::S ,^,��nc:raal: i�4X i i=-MHII_A.)i�I�E:S:i <br /> ian@ianbain.com <br /> 4. lierificatian <br /> I ha�e use�all rea�onebie di�iyence in prepa;ing and rev?e��ir:g 4his sta�ement an�:o the best o#my kno�vledce Ehe infc!mation ce�tair:ed hereir.ani in the attac.hed stheduEes is true and compl�te. I <br /> certify under penalty ef perj�ry uncEer the lasvs of the Staie ef Ca!ifomia that the foregair:g is true ard�.riect. _ <br /> FxE;�:t�a o� 1/31/05 <br /> �� <br /> �y�;�:tz�i�r, 1/31/05 <br /> uz� <br /> Executed cn <br /> B�; <br /> e� <br /> Bv <br /> � iig�hire d Co.:�r^Ilin.^,ON.ice;eLi2r.:a rdiAa2,:�M=asurv Fro?one.^.t <br /> EXe:.ute:J cn By FPPC Form�64 ,funelQ9? <br /> L�L 5igrature o?CurS�lli??g�ice?�cidc r,�2 ixliGac•,5ate Me2sure Fio�ork;ni E <br /> FPPG FalE-Free Halpline:86S;ASK-FPPC <br /> State of Califomia <br />