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. <br /> , O ������ COVER PAGE <br /> Recipient Committee Type or print in ink. o e ta <br /> Campaign Statement FEB � 2� ��04 '� � • 1 <br /> Cover Page �` � <br /> (Govemment Code Sections 84200-84216.5) ITY OF RED'Yd00D CITY �� <br /> Statement covers period Date of election if applicab : CITY CLERK <br /> 10/19/03 (Month, Day, Yearj Page 1— of� <br /> f�om For Offciai Use Oniy <br /> SEE INSTRUCTIONS ON REVERSE through 12/31/03 <br /> 1. Type of Recipient Commit#ee: au commtttees-comp�ete Parts�,s,a,aoa a. 2. Type of Statemen#: <br /> � Officeholder,Candidate Controlled Committee ❑ 8atlot Meas�re Committee ❑ Preelection Statement � Quartedy Statement <br /> Q State Candidate Eledion Committee Q Primarily Formed ,�j�, Semi-annual Statement � Special Odd-Year RepoR <br /> Q Recall (� Controlled Tertnination Statement <br /> (FlsoComplelePartSj � Sponsored � ❑ SupplementalPreelection <br /> (AlsoCom,ple;ePart6) ❑ Amendment(Explain befow) Statement-Attach Form 495 <br /> ❑ General Purpose Committee <br /> Q Sponsored � Pnmanly Fortned Candidate/ <br /> Q Small Contributor Committee Officeholder Committee <br /> Q Political Party/CeMral Committee (AlsoCOmdetePaR7) <br /> 3. Committee Information �D. NUMBER Treasurer(s) <br /> 1253171 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> ROSANNE FOUST FOR CITY COUNCIL RICHARD S. CLAIRE <br /> MAILING ADORESS <br /> <br /> STREET ADDRESS(NO P.O. BOXJ CITY STATE ZIP CODE <br /> <br /> CITY STATE ZIP CODE AREA COOE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br /> REDWOOD CITY CA 94062 <br /> MAILING ADORESS QF DIFFERENT)NO. AND STREET OR P.O. BOX MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CO�E/PHONE CITY STATE ZIP CODE AREA CODE(PHONE <br /> OPTIONAL: FAX I E-MAIL AD�RESS OPTIONAL: FAX 7 E-MAIL ADDRE55 <br /> 4. Verification <br /> I have used ail reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the in rmation contained herein and in the attached schedules is true and compiete. i <br /> certity under penalty of perjury under the laws of the State of Califomia that the foregoing is true an rr . <br /> Ezecuted on 1/31/04 ey � <br /> Oate $ignaturnof'��.s�ure,r�orA,�SS�i., rrtTreasurer <br /> Exewtedon 1�31/04 ey �. Ji�U U��` <br /> Date SignaGUe of Contrdling Officehdder,CanCiaate.State Meawre P'oponent or ftesponahle Olfcer of Spanwr <br /> Executed on By <br /> Date SignaWre otCorrtrdiing OKCehdtler,Cantlitlate,State Meawre Proponenl <br /> Ezecuted on By FPPC Fomi460 Junel0l <br /> Oafe SignaNreofCwrt�oilingOtficehol7egCanditlale,5tateMeasureProponent ( � <br /> FPPC Toll-Free Helpline:866IASK-FPPC <br /> State of Califomia <br />