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� SHORTFQRM <br /> . ReClpiAttt COIYitllirt�8 Type or prtnt in�nk, <br /> Campaign Statement—Short Form ������� � 1 <br /> SEE IN8TRUCTION3 ON REVER3E <br /> Stabemern covars perlod Deba M electlan H u IcaWa: Pa � of� <br /> For use by recipfent committees ffiat have not received a �,am /Y..: �'.._. „��r'f� (Momh�Day,Ye J U L 21 2 014 <br /> � con�ibuUon or other roceipt that must be itemized,have not For omde�u�e ony <br /> rece(ved or made loana,and have no outstanding accrued n ..� ITY OF REOVJOO[�CiTY <br /> � expenses. lhroupM ��"' '�G " � ��L{ � <br /> CITY CIERK. <br /> 1. Type of Recipient Committee: 2. Type of Statement: <br /> � p Ballot A�eaeure Committee �ene�al Purpose Committee p re-elaction Stateme�rt . <br /> p Primer(ly Formed � Q Sponsored ❑ Quarterly Stetemem <br /> � �n��� Semi-annual Stetemerit ❑ Special Odd-year Report <br /> Q Sponsored O Smali Cor�trfbutor Cammittee ❑ Terminatfon �atement ❑ Supplementsl Pre-election <br /> � Statemerrt-Attach Form 495 <br /> p Primsrily Formed Cendidate/ (; ❑ Amendment(Explain) . <br /> Officeholder Commlttee (A!w cr�Ic type or•atemeM you are eunsndino} <br /> i <br /> 3. Committee informatlon �.D."u""BER Treasurer(s) <br /> I�.����b � <br /> COMMITTEE NAME NAME OF TREASURER � <br /> � . /vt�-f-�1-�,�� L���1� <br /> ��'1 �v�v�S a� ,C���w<� ��:� �'�-� `��C:;,. MAlLINO ADORE S "r'� <br /> �.�r ;,�� � � .3''�.,/"Q�v,� <br /> STREETADDRE38(NO P.fl,BOX) , �� STATE 21P CODE AR CODE/PHONE <br /> r��S" � �'�...�- �{•c�.(..c_;.� �%,� Cr � ^.�� (�5Z , �� `.� Z�i <br /> ��n' BTATE ZIP COOE AREA CODFJPHONE "� " �— � <br /> NAME OF ABSISTANT TREAS ER,IF ANY <br /> �c��e.���� � �� �� `���Y"c;,3 �,s�._3��--��L:� � � Lv evt �l�ae ,�c��:.�e, <br /> MAIUNO ADDRE83(IF bIFFEREN NO,AND STREET OR P.O.BOX NjAj�jNp ADDRESS <br /> , , q.y <br /> .?�,�� �-l'cr'�c'� �f'2'�.--�' <br /> ��Tti' , 3TATE ZIP CODE AREA CODE/PHONE C17Y STATE ZIP CODE AREA CODE/PkONE <br /> �,�<l���.;�� c.���, ���- �'y���3 ��s�1.���,� _ ��'z�'y� <br /> OPTIONAL: FAX/E-MAII ADORESS OPTIONAL: FAX/E-NWIL AD RE3S w <br /> 4.Veriflcation <br /> I have used a�l reasonable diligence in preparing and reviewing this atatement and tc the best of my ledge thb iriformatlon contained herein is true and complete. i certify <br /> under penaity of perjury under the laws of the State of Califomia that the fo <br /> regoi is.�rue er�d corr , <br /> Exec�ted on—_��" �j ' �/� gy G L� �i.,2v . :�GN��" <br /> DATE , 810NATURE OF SURER OR A881STANT TREABURER <br /> EXECUtBf�0/1 �y <br /> �A� &IGNATURE OF CON71idLLiNO OFFICEMOLDER,CANDIOATE,9TATE MEASURE PROPONENT,OR RESPON&IBLE OFPICER OF 8PON80R <br /> Executed on gy • � <br /> DATE SIGNATURE OF CONTROLUNO OfFICEHOLOER,CANDIDATE,STATE A�EqSURE PROPONENT <br /> Executed on gy <br /> ��� , SI4NATURE OF CONTROLLINO OFFICEHOLDER,CANDI�ATE,STATE MEASURE PROPONENT <br /> FPPC Form 460(JanuarylOb) <br /> FPPC Toll-Frae HeIp1Ue:868/ASK�FPPC(866l2T6-3T7Z) <br />