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COVERPAGE <br /> Recipient Committee Type or print In Ink. � .• • , <br /> Campaign Statement D � � � Q �1� (� �� � • � <br /> CoverPage •' <br /> (GovemmeM Code Sections 84200-84216.5) J U L 3 0 2003 <br /> Statement covers perlod Date of elecSlon If appliwble: �_ o� 9 <br /> 1/1l03 (�m,Day,vear) <br /> hO1" ciTV oF r+eo�r✓000 ci F°��'ai use o�iy <br />'p SEE INSTRUCTIONS ON REVERSE through <br /> 6Y�0/�3 ���4�03 CITYCLERK <br /> 1. Type of Recipient Committee: ai co�,�mna..-comp�e.v.n.+,s,s,e�a�. 2. Type of Statement: <br /> � Otficelqlder,Candidale CoMrolled Commttlee ❑ Balbt Measure Committee ❑ Preeleclion Sfatement � Quarterty Sfalemenl <br /> iC Q Sta�Candidate Eledion Committee Q Primarily Fortned � SeiN-annual Statement � Special Odd-Year Report <br /> Q Recall Q Controlled � Tertnination Statement ❑ Supplemental Preeleclion <br /> (a�c«^Wae�^5) � SP�s� ❑ qmendmeM(Explain bebw) StatemeM-Attach Form 495 <br /> (AboCanpkePrt61 <br /> ID � ���I Purpose Canmittee <br /> � Sponsaed � PdmariNFOmiedCardidale/ <br />— QSmallContributorCommittee OI(�cehdderCommittee <br /> Q Poli[icalParrylCentralCommittee (AV°�°�^�mPert]) <br /> BI <br />"" 3. Committee Informatlon I.D. NUMBER Treasurer(s) <br />� 1255762 <br />_ COMMITTEE NAME(OR CANDIDATE'S NMIE IF NO COMMITTEE) NAME OF TRFASURER <br /> Committee to Elect lan Bain Nancy Bain <br /> MAILING AODRE55 <br />_ <br /> STREET AODRE55(NO P.O.BOX) CITV STATE ZIP CODE AREA CODEIPHONE <br /> Redwood City CA 94063 <br />�R C17V STATE ZIP CO�E AREA CODE/PHONE NAME OF ASSISTANT iREASURER, IF ANY <br /> Redwood City CA 94063 <br /> S MAILING ADDRESS(IF DIFFERENT)NO.AND STREEi OR P.O.BOX MAILINCa AODRESS <br />= CITY 3TATE ZIP CODE AREA CODE/PHONE GTV STATE ZIP CODE AREA CODEIPHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL A�DRESS <br />— ian@ianbain.com <br /> 4. Verification <br /> pF I have used all reasonable difigence in preparing arM reviewirg this atalement and to tlie best of my Imowledge tfre information confained herein a'M in ihe altached schedules is We arM complete. I <br /> certify under penally W perjury under the laws of the Sfate oi Cal'rfomia lhat tl�e foregoing is true aM conecl. <br /> 7/30/03 <br />$ Eceatedan �b BY mure r�sureraPnaisleniTnmurer <br /> 7/30/03 ey - � <br />— Executedon �� remContruNna .Cename�smmMeawrevmpvixn«Respo,.6leO�e�mSpw�e� <br /> Executedon BY �ay���pp�qda�,�yqNere,SmoelAeeeuaPmraen� <br /> Dab <br /> ExecuteA on � BY �y�y��p�„pp�ur.Cnamb.3mmMemi.ePmpmeni FPPC Fo�m 480IJunN01) <br /> FPPC Tollfrea Helpllne:BBdASKfPPC <br /> Stab of CalNOmla <br />