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Rec't'piei�i'�Committee <br /> C�mpaign Statement <br /> Cover Pag� <br /> (Government Ccr.ie Sections 84200-84216.5} <br /> Type or print in ink. <br /> Statement covers period <br /> from 7�1/08 <br /> SEE INSTRUCTIONS ON REVERSE through '��31/09 <br /> 1. Type of Recipient Committee: All Committees—Complete Parts 1,z,3,and 4. <br /> � Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure <br /> Q State Candidate Election Committee Committee <br /> Q Recall Q Controlled <br /> (AlsoCompletePaR5) 0 Sponsored <br /> (Also Complete Part 6) <br /> ❑ General Purpose Committee <br /> Q Sponsored � Primarily Formed Candidate/ <br /> Q Small Contributor Committee Officeholder Committee <br /> Q PoiiticalParty/CentralCommittee (AlsoComp/etaPart7) <br /> 3. Committee Information �.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 CODElPHONE <br /> Redwood City CA 94061 <br /> MAILING ADDRESS (IF DIFFERENT) N0.AND STREET OR P.O.BOX <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTtONAL: FAX/E-MAfL ADDRESS <br /> Date Stamp <br /> Date of election if appiicabie: <br /> (Month, Day,Year) <br /> 11/6/08 <br /> 2. Type of Statement: <br /> ❑ Preelection Statement <br /> � Semi-annual Statement <br /> ❑ Termination Statement <br /> (Also file a Form 410 Termination) <br /> ❑ Amendment(Explain below) <br /> COVER PAGE <br /> Page � of�L <br /> For Official Use Oniy <br /> ❑ Quarterly Statement <br /> ❑ Special Odd-Year Report <br /> ❑ Supplemental Preelection <br /> Statement-Attach Form 495 <br /> Treasurer(s) <br /> NAME OF TREASURER <br /> Lorianna Kastrop <br /> MAILtNG ADDRESS <br /> <br /> CITY STATE ZIP CODE <br /> <br /> NAME OF ASSISTANT TREASURER, IF ANY <br /> MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX t E-MAII ADDRESS <br /> 4. Verification <br /> 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the infor tion containe her�in and in the attached schedules is true and complete. I certify <br /> under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br /> ;� � <br /> �� l .�° � Y '--____ <br /> EXeCUted On p�,� B Signature_ Trea orAss'staM surer <br /> J , � <br /> J �ry <br /> ExeCUted On � p� � v � � g�ehxe of Co�trolling Oificeholder,Candidate,Stat Measure Proponent or Responsible Officer of Sponsor <br /> Executed on <br /> Date <br /> Executed on <br /> Date <br /> By <br /> SignaGre of Controlling Officeholder,C�didste,State Measure Proponent <br /> By <br /> Signature of Controlling Officeholder,Candidate,State Measure Proponerrt FPPC Form 460(January/05) <br /> FPPC Toll-Free Helpline:8661ASK-FPPC(866/275-37T2) <br /> State of Califomia <br />