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Recipient Committee <br /> Campaign Statement <br /> Cover Page <br /> (Govemment Code Sections 84200-84216.5) <br /> SEE INSTRUCTIONS ON REVERSE <br /> Type or print in ink. <br /> Statement covers period <br /> from 1/1/05 <br /> through 6/30/05 <br /> 1. Type Of ReClj7lent C0111111'Ittee: �411 Committees-Complete Parts 1,2,3,and 4. <br /> � Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure <br /> Q State Candidate Election Committee Committee <br /> Q Recall Q Controlled <br /> (Also Complete PaR 5J 0 Sponsored <br /> (Alsa Complefe Part 6) <br /> ❑ General Purpose Committee <br /> Q Sponsored � Primarily Formed Candidate/ <br /> Q Small Contributor Committee O�ceholder Committee <br /> Q Political Party/Central Committee (Also CompletePart 7J <br /> 3. Committee Information I.D. NUMBER <br /> 1253171 <br /> COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br /> ROSANNE FOUST FOR CITY COUNCIL <br /> STREET ADDRESS (NO P.O. BOX) <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> REDWOOD CITY CA 94062 <br /> MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS <br /> Date of election if applicable: <br /> (Month, Day,Year) <br /> Date Stamp <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 /> Treasurer(s) <br /> COVER PAGE <br /> Page � of 4 <br /> For O�cial Use Only <br /> ❑ Quarterly Statement <br /> ❑ Special Odd-Year Report <br /> ❑ Supplemental Preelection <br /> Statement-Attach Form 495 <br /> NAME OF TREASURER <br /> RICHARD S. CLAIRE <br /> MAILING ADDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> REDWOOD CITY CA 94062 <br /> NAME OF ASSISTANT TREASURER, IF ANY <br /> LING ADDRESS <br /> CITY <br /> OPTIONAL: FAX/E-MAIL ADORESS <br /> STATE ZIP CODE AREA CODE/PHONE <br /> 4. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge th infor tion ontained herein and in the attached schedules is true and complete. I certify <br /> under penalty of perj�ry under the laws of the State of Califomia that the foregoing is true a�d correct,� � ��� <br /> Executed on 7�25�� <br /> Date <br /> Executed on ` ��- <br /> Date <br /> Executed on <br /> Date <br /> Executed on <br /> Date <br /> By <br /> By <br /> or Responsible Officer of Sponsor <br /> By <br /> Signature of Controlling Officeholder,CaMidate,State Measure Proponent <br /> By <br /> SignatureofControllingOfficeholder,Candidate,StateMeasureProponent FPPC Fortn 46U(Januaryl05) <br /> FPPC Toll-Free Helpline:8661ASK-FPPC(866/275-3772) <br /> State of California <br />