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V IS THIS A SPONSORED COMMITTEE? (Refer to the instructions on the reverse side for definitions and rules regarding the name of a sponsored committee.) [] NO [] YES (Provide name and address of sponsor. If the committee has more than one sponsor, provide the name and address of each sponsor on an attachment.) Name of Sponsor: Address of Sponsor: VI IF PRIMARILY FORMED TO SUPPORT OR OPPOSE SPECIFIC CANDIDATES OR MEASURES, LIST SPECIFIC CANDIDATES OR MEASURES SUPPORTED OR OPPOSED. CANDIDATE'S NAME/MEASURE'S FULL TITLE SUPPORT OPPOSE OFFICE SOUGHT OR HELD BY CANDIDATE OR MEASURE'S INCLUDING BALLOT NUMBER OR LETTER JURISDICTION (Include district number, aty or county, as apphcaOle.) Attach additional in formation on appropria rely labeled continua tion sheets. VII COMMITTEE'S PRINCIPAL ACTIVITY IF NOT SUPPORTING OR OPPOSING SPECIFIC CANDIDATES OR MEASURES -- PLEASE CHECK BOX TO INDICATE THE COMMITTEE'S LEVEL OF ACTIVITY: OCITY [] COUNTY [] STATE Attach additional information on appropriately labeled continuation sheets. VIII YOU MUST SPECIFY WHAT DISPOSITION WILL BE MADE OF SURPLUS FUNDS IN THE EVENT OF TERMINATION. VERIFICATION I HAVE USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT. I HAVE REVIEWED THE STATEMENT AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION CONTAINED HEREIN IS TRUE AND COMPLETE. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT. EXECUTED ON May 21 ~ 199J~T Redwood City, Ca. aY v --- (DATE) (CITY AND STATE) EXECUTEDON May 21s 199~ Redwood City, Ca. BY (DATE) (C17¥ AND ST,TE) (SIGNATURE ~ONTROLLING GANOIDATE. O/~ I~'~EHOL't)ER OR STATE MEASURE PROPONENT) EXECUTED ON AT BY (DATE) (OTY AND STATE) (SIGNATURE OF CONTROLLING CANDIOATE, OFFICEHOLDER OR STATE MEASURE PROPONENT) EXECUTED ON AT BY (DATE) (CITY AND STATE) (SIGNATURE OF CONTROLLING CANDIDATE. OFFICEHOLDER OR STATE MEASURE PROPONENT)