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Recipient Committee T COVER PAGE <br /> Campaign Statement YPe Or print in ink. Date Stamp . �� <br /> � • 1 <br /> Cover Page D ������ �� � <br /> (Government Code Sedions 84200-84216.5) q c � <br /> Statement covers period Date af electlon if applicabl : '. SEP 4 P ZOOJ ge � of s <br /> (Month, Day, Year) a <br /> from 7/1�03 For ORcial Use Only <br /> ITY OF REDWOOD CI <br /> SEE INSTRUCTIONS ON REVERSE th�ough <br /> 9/20/03 1114/03 CITY CLERK <br /> 7. Type of Recipient Committee: nu comminaes-comPine rans�,z,a,s�a a. 2. Type of Statement: <br /> � Of6ceholder,Candidate Controlled Committee � Ballot Measure Commktee � Preelection Statement � puartedy Statement <br /> Q State Candidate Election Committee Q Primanly Formed ❑ Semi-annual Statement � Special Odd-Year Report <br /> Q Recall Q Controlled Tertnination Statement <br /> �asocomo�revens� � ❑ SupplementalPreelection <br /> Q Sponsored � pmendment(Explain below) Statement-Attach Form 495 <br /> (AlsoCOmpla(ePart6) <br /> ❑ GeneralPurposeCommiriee <br /> Q Sponsored � Pnmanty Fortned Candidatel <br /> Q Small Contributor Committee Officeholder Committee <br /> QPoliticalParty/CentralCOmmittee (AkoCwnO�e(ePert]J <br /> 3. Committee Information I.D. NUMBER Treasurer(s) <br /> 1255762 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Committee to Elect lan Bain Nancy Bain <br /> MAILING AOORE55 <br /> <br /> STREET ADORESS(NO P.O.BOX� CITY STATE ZIP CODE AREA CODEIPHONE <br /> Redwood City CA 84063 650-361-8528 <br /> CITV STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANV <br /> Redwood City CA 94063 650-361-8528 <br /> MAILING ADDRESS(IF OIFFE2ENi)NO. AND STREET OR P.O. BOX MAILING AODRESS <br /> CITY STATE ZIP CODE AREA COOE/PHONE CITV STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONFL FAX I E-MAIL ADDRE55 OPTIONAL�. FAX I E-MAII AODRESS <br /> ian@ianbain.com <br /> 4. Verification <br /> I have used all reasonable diligence in prepanng and reviewing this statement and to ihe best of my knowledge the inTormation contained herein and in the altached schedules is true and complete. I <br /> certify under penafry of perjury under the laws ot the State of California that the foregoing is true and correct. <br /> 9/25(03 ,��:,...��re' � . <br /> Executetl on By <br /> Dele �4 Synawre� asurerorPasistentTreswrer <br /> Ezecuted on 9�25/03 BY <br /> pete SgnaWreofCOnbalmB��ber,CanEitlata,5teteMeawrePmponenlaRa�ansldeOR<eroi5pansor <br /> Executetl on By <br /> Dele SIp�eWredConwlki9�'e��r.CeMNete.StsleMmsurePropaient <br /> Executed on By FPPC Form 460(JUna/01) <br /> DeOe Si�aWreMCOnbWmpOfi�rehdtla,CaMkete,5leteAkasuePmponent <br /> FPPC Toll-Froa Hslplina:86&ASK-FPPC <br /> SbH of Celllomla <br />