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COVER PAGE <br />Recipient Committee Type or print in ink. Date Stamp <br />Campaign Statement <br />(Govemment Code Sections 84200-84216.5) '~ ~ ~ I ~ ~= <br /> Statement covers period Date of election if applicable: Page t of ~ <br /> from"-'~ '~ "~.0OO (Month, Day, Year) AUG 0 3 Z000 For Officlal Use Only <br /> <br />SEE INSTRUCTIONS ON REVERSE throug '~ CITY (DF ~Dw'OOC) CITY <br /> CITY CLERK <br /> <br />1. Type of Recipient Committee: A, Committees- Complete Parts 1, 2, 3, and 7. 2. Type of Statement: <br /> ,~cOfficeholder, Candidate [] Primarily Formed Candidate/ [] Pre-election Statement [] Quarterly Statement <br /> ontrolled Committee Officeholder Committee ,J~ Semi-annual Statement [] Special Odd-Year Report <br /> (Also Complete Part4.) (Also Complete Part 6.) [] Termination Statement [] Supplemental Pre-election <br /> [] Ballot Measure Committee [] General Purpose Committee <br /> [] Amendment (Explain below) Statement - Attach Form 495 <br /> O Primarily Formed O Sponsored <br /> O Controlled O Broad Based <br /> O Sponsored <br /> (Also Complete Part 5.) <br /> <br />3. Committee Information I "D'NU~ ,/0 ~ ~ Treasurer(s) <br /> COMMITTEE NAME <br /> NAME OF IR/r.~SURER <br /> <br /> STREET ADDRESS (NO P. O. 3 3¢ q} .e \ <br /> CITY STATE ZIP CODEAREA CODE/PHONE <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> NAME OF ASSISTANT TREASURER, IF ANY <br /> <br /> MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE Crl'Y STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX/E-MAILADDRESS OPTIONAL: FAX/E-MAILADDRESS <br /> <br /> FPPC Form 460 (8/99) <br /> For Technical Assistance: 916/322-$660 <br /> State of California <br /> <br /> <br />