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~o~it~ ~efo,r~ O.vi,io. · R E C E I V E D <br /> .'~ P.C. Box 1467 <br /> <br /> In the o~c, of the Secretary of Stato <br />~ STATEMENT OF OfiGANIZATION (RECIPIENT <br /> F0~1983410~~/~ ~ -~ (Government Code Se~ion 84101-84103) d JL <br /> I IFAMENDMENT MARCH F(NG EU, ~r~ of Sta, <br /> ENTER I.D. NUMBER (Tvoe or Print in I nR) <br /> FU~ NAM.E OF COMMITTEE: <br /> <br /> S~T ~OO~SS OF COMMIT~: No. AND 5~R[ET City STAVE Z~ COOl[ JCOUNTY: <br /> (NOT ~.O. <br /> <br /> OATE~OUACIFIED~ ~AS~ COMMITTEE~~(MO../~/OAY''YN') :j~l ~/A~[A~ COOl~ ,~ ~ ~P~ONB~ / <br />I T~ASURE~ AND 0THE~ P~I~C]PAL <br /> <br /> (AREA PHONE <br /> POSITION NAME AND PERMANENT STREET ADDRESS CODE) NO. <br /> <br /> A Cract~ 3dditional information on aOorooriatel¥ labeied continuation sheers. <br />II IS THIS A CONTROLLED COMMITTEE? <br /> <br /> (A control/ed comm/~ee /$ one which i$ control/ed directly or ;ndirecrty by a candidate or which ac',s joi.qt/y wit,h a candidate or <br /> con,roi/ed camm/tree in connection ,/v/th the making of expend/*,ures. A candidate controls a comrn/~ee if he or she. his or her 3genr <br /> or any o~her committee he o~he control~, nas significant influence on the actions or decisions of ~he comm/ttee.) <br /> <br /> [1.~]" YES (Complete Section III) [ ] NO (Section III is not applicable) <br /> III CANDIDATES CONTROLLING THiS COMMITTEE; CANDIDATES OR COMMITTEES WITH WHICH THIS <br /> COMMITTEE ACTS JOINTLY <br /> FOR OFFICIAL IDENTIFICATION NUMBER OF COMMITTEE OR <br /> USE ONLY NAME OF CANDIC}ATE OR COMMITTEE TREASURER'S NAME AND PERM/~NENT STREET ADDRESS <br /> <br />A r~acl~ additional information on aDprol3riarely/aOeted continuation sheet~. <br /> <br />IV PERSONS OR ORGANIZATIONS, IFANY, WITHWHICH THIS COMMITTEE IS AFFILIATED OR CONNECTED <br /> (AREA PHONE <br /> NAME AND STREET ADDRESS CODE} NO. <br /> <br />Attach a~ldir~nal information on aoorooriatel¥ laOeted continuation shee~s. <br /> <br /> YOU MUST COMPLETE THE VERIFICATION ON PAGE 2 <br />For information requireu to be !=ravia-ed to you pursuant to the Information Practices Act of 1977, see "Information Manuat on Campai=jn Disclosure Provisions <br />of the Political Reform Ac~," Part X. <br /> <br /> T <br /> <br /> <br />