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Recipient Committee <br /> Campaign Statement <br /> Cover Page <br /> (Government Code Sections 84200-84216.5) <br /> Type or print in ink. <br /> Statement covers period Date of election if applicable: <br /> from <br /> 1/1/06 (Month, Day,Year) <br /> SEE INSTRUCTIONS ON REVERSE I through 6/30/06 <br /> 1. Type of Recipient Committee: Au comm�cc�s-comPiete Pans�,2,3,and 4. <br /> � Officeholder,Candidate Controlled Committee ❑ Ballot Measure Committee <br /> Q State Candidate Election Committee Q Primarily Formed <br /> Q Recall � Controlled <br /> (AlsoCompletePartS) Q Sponsored <br /> (A/so Complete Part 6) <br /> ❑ General Purpose Committee <br /> Q Sponsored � Primarily Formed Candidate/ <br /> Q Small ContributorCommittee Officeholder Committee <br /> Q Political Party/Central Committee (A/soCompletePart7) <br /> 3. Committee Information I.D. NUMBER <br /> 1255762 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) <br /> Committee to Elect lan Bain <br /> STREET ADDRESS(NO P.O. BOX} <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94061 <br /> MAIIING ADDRESS(IF DIFFERENT) NO.AND STREET OR P.O. BOX <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> 11/4/03 <br /> 2. Type of Statement: <br /> ❑ Preelection Statement <br /> � Semi-annual Statement <br /> ❑ Termination Statement <br /> ❑ Amendment(Explain below) <br /> Date Stamp <br /> COVER PAGE <br /> � �� � � , <br /> �� � � <br /> • - <br /> Page � of 2 <br /> For Official Use Only I <br /> ❑ Quarterly Statement <br /> ❑ Special Odd-Year Report <br /> ❑ Supplemental Preelection <br /> Statement-Attach Form 495 <br /> Treasurer(s) <br /> NAME OF TREASURER <br /> Nancy Bain <br /> <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94061 <br /> NAME OF ASSISTANT TREASURER, IF ANY <br /> MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX /E-MAIL ADDRESS OPTIONAL: FAX/E-MAI�ADDRESS <br /> ian@ianbain.com <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 and in the attached schedules is true and complete. I <br /> certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. � <br /> �� i136�o� <br /> Executed on <br /> �� <br /> Executed on � � !� /— l <br /> Date <br /> Executed on <br /> Date <br /> By <br /> By <br /> By <br /> Signffiure of Controlling OtficeFrolder,Candidate,State Measure Proponent <br /> Executed on BY FPPC Form 460(June/Q1) <br /> Date Si9nature of ConV011ing Officeholder,Candidale.State Measure Proponent <br /> FPPC Toll-Free Helpline:8661ASK-FPPC <br /> State of California <br />