Laserfiche WebLink
-O ~VER PAGE - LONG FORM <br />Recipient Committee ~.~, <br />Campaign Statement ,~]OCT 1 4 2003 <br />(Government Code Sections 84200 - 84216.5) ~ Page I of 9 <br /> ]'Y OF REEW00D CITY A For Official Use Only <br /> Statement covem pe~od Date of Election if applicab ,: CITY CLERK <br /> <br /> Worn 09/21/2003 (Month, Day, Year) <br /> through 09/30/2003 03/02/2004 <br /> <br />1. Type of Recipient Committee: 2. Type of Statement: <br /> [] Officeholder, Candidate Controlled Committee [] Ballot Measure Committee [] Pre-election Statement [] Quarterly Statement <br /> ~ State Candidate Election Committee O Primarily Formed [] Semi-annual Statement [] Special Odd-Year Report <br /> O Recall O Controlled [] Termination Statement [] Supplemental Pre-election <br /> O Sponsored [] Amendment (Explain below) Statement - Attach Form 495 <br /> [] General Purpose Committee <br /> O Sponsored [] Primarily Formed Candidate <br /> O Small Contributor Committee Officeholder Committee <br /> O Political Party/Central Committee <br /> <br /> I,.D. MUM,ER Treasurer(s) <br />3. Committee Information 1252809 <br /> <br /> COMMITTEE NAVE NAVE OF TREASURER <br /> Ira Ruskin Democrat for Assembly Ash Pirayou <br /> STREET ADDRESS <br /> 125 S. Market Street, Suite 1160 <br /> STREET ADDRESS (NO P,O, SOX) <br /> 1001 I r i s S t re e t CITY STATE ZIP CODE AREA CODE;PHONE <br /> San Jose CA 95113 (408)297-3795 <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Redwood City CA 94061 (650) 261-1410 NAMEOFASSISTANTTREASURER, IFANY <br /> STREET ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O, BOX <br /> STREET ADDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> CITY STATE ZIP CODE AREA CODEJPHONE <br /> ( ) <br /> OPTIONAL: FAX/E-MAIL ADDRESS <br /> ( 650 ) 365 - 7210 / OPTIONAL: FAX/E-MAIL ADDRESS <br /> <br />4. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the info~ contained herein and in the attached schedules <br /> is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoin9%is/tr~e'an(~ c.~rect. <br /> Executedon (O t ~A~TEl 0~ By ~ SlGNAT ~F'TREAS~STA~TTR~T~'~R <br /> Execu ed on /(/~}//~ ~?~ '-~ By SIGNATURE OF (~oN~EHoL~~2E PROP¢~NT OR'RESPONSiBLE OFF CER OF SPONSOR <br /> Executed 0fl By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br /> <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br /> <br /> S/CCW - PCAB05 01380 (Rev. 9/99) State of California Fair Political Practices Commission. <br /> <br /> <br />