Yes on Measure Q 01-01-2004 thru 09-30-2004 Preelection 460

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COVERPAGE-LONGFORM Recipient Committee Campaign Statement Date Stamp ~~ ~(~~~7R"\ 460 Page 1 of -2 6 A For Official Use Only 0 ~C~I~~ 52004 (Government Code Sections 84200 - 84216.5) Statement covers period Date of Elec:tion if applicable: OCT from 01/01/2004* (Month. Day, Yeal) CITY OF REDWOOD CITY CITY CLERK *Committee formed 7/23/2004 through 09/30/2004 11/02/2004 1. Type of Recipient Committee: D Officeholder, Candidate Controlled Committee [J Ballot Measure Committee 0 State Candidate Election Committee [!]Primarily Formed 0 Recall 0 Controlled ~sponsored 2. Type of Statement: ~ Pre-election Statement D Semi-annual Statement D Termination Statement D Amendment (Explain below) D Quarterly Statement D Special Odd-Year Report D Supplemental Pre-election Statement - Attach Form 495 D General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee D Primarily Formed Candidate Officeholder Committee 3. Committee Information I.D. NUMBER 1267222 Treasurer(s) STREET ADDRESS (NO P.O. BOX) 6 CITY STATE ZIP CODE Redwood City CA 94063 STREET ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODEIPHONE (6 NAME OF TREASURER Russell H. Miller STREET ADDRESS 2 CITY Burlingame NAME OF ASSISTANT TREASURER, IF ANY STATE ZIP CODE CA 94010 AREA CODEIPHONE (6 COMMITTEE NAME Yes on Measure Q - Redwood City Residents, Teachers, Nurses, Firefighters, Police Officers, Seniors, Union Members, Businesses and Citizens Committee for Marina Shores Village, planned and funded by Glenborough-Pauls, LLC STREET ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAXIE-MAIL ADDRESS / OPTIONAL: FAXIE-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statemen is true and complete. I certify under penalty of perjury under the laws of theßI, Executed on 10/4/2004 By DATE DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT State of California Fair Political Practices Commission. S/CCW - PCAP08 01301 (Rev. 9/99)