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<br />SEE INSTRUCTIONS ON REVERSE <br /> <br />Statement covers period <br />from / /; /æ <br /> <br />through q3f?h3 <br /> <br />Date 01 election if applicable: <br />(Month, Day, Year) <br /> <br />i '" ~~~F IE <br />\\liJI.b~\"'IJ:"Ü E'. <br />i ~ \ <br />ut JUL 3 0 ZO03 <br />\ cr!Y OF REDW..,OOD C <br />CI~L~~K <br /> <br /> <br />Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br /> <br />Type or print in ink. <br /> <br />1, Type of Recipient Committee: All Committees - Complete Psrts " 2, 3, and 4. <br /> <br />Q!I Officeholder, Candidate Controlled Commiffee 0 Ballot Measure Commillee <br />a State Candidale Election Committee a Primarily Formed <br />a Recall a Controlled <br />{A""CempierePa.5} a Sponsored <br />{AtwCemp/øtePe.6} <br /> <br />2. Type of Statement: <br />0 Preelection Statement <br />0 Semi-annual Statement <br />0 Termination Statement <br />0 Amendment (Explain below) <br /> <br />D Quarterly Statement <br />D Special Odd. Year Report <br />D Supplemental Preelection <br />Statement. Attach Form 495 <br /> <br />0 General Purpose Committee <br />a Sponsored <br />a Small Contributor Committee <br />a Political Party!Central Committee <br /> <br />0 Primarily Formed Candidate! <br />Officeholder Committee <br />(AI", Comp/øtePa. 7} <br /> <br />3. Committee Information <br /> <br /> <br />Treasurer(s) <br /> <br />NAME OF TREASURER <br /> <br />D;¡:}¡J€ ~,{2D /7i3r2 {!¡rý {bollia! L <br />STREET ADDRESS (NO P.O. BOX) <br /> <br />CITY STATE ZIP CODE AREA COOE/PHONE <br /> <br />~~F ~J;iNT) NO. ~TREET 0~7- <br />CITY ~~ZIPCODE <br /> <br />-R\ QI-\t\\.Q.'Q <br />MAILING AODRESS <br /> <br />5. ~{R¡:; <br />SAìV1/Ó <br /> <br />STATE <br /> <br />ZIP CODE <br /> <br />AREA CODE/PHONE <br /> <br />CITY <br /> <br />NAME OF ASSISTANT TREASURER. IF ANY <br /> <br />MAILING ADORESS <br /> <br />AREA CODE/PHONE <br /> <br />STATE <br /> <br />ZIP COOE <br /> <br />AREA CODE/PHONE <br /> <br />CITY <br /> <br />OPTIONAL, FAX / E-MAIL AODRESS <br /> <br />DPTIONAL, FAX / E.MAIL ADDRESS <br /> <br />4. Verification <br /> <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the inlormation contained herein and in the attached schedules is true and complete. I <br />cartily under penally of perjury under the laws of the State of California that the loregoing is Jr a d co t. . <br /> <br /> <br />Executed on 7j::tS:~,. <br />Executed on 7/Z'!i"1os <br />DaI. <br /> <br /> <br />Executed on <br /> <br />Date <br /> <br />By <br /> <br />S9>a'u",""""""""""-.C,,"""'. Slete..."",,,Proponent <br /> <br />Execuled on <br /> <br />Date <br /> <br />By <br /> <br />S;gnstu","Con_OII_.C""",.,..Slete..."""p""""",,,t <br /> <br />FPPC Fonn 460 (June/Ol) <br />FPPC TolI.Free He'pll..: 8661ASK.FPPC <br />Sta.. of Caillornis <br />