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Type or print in ink. COVER PAGE - PART 2 <br />Recipient Committee <br />Campaign Statement <br />Cover Page- Part 2 <br /> <br />4. Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee <br /> <br /> NAME OF OF~ICEHOLDEB O~ CANDIDATE· NAME OF BALLOT MEASURE <br /> <br /> OFFICE ,%OUGHT OR H_ELD (INCLUDE LOCATION AND DISTRICT NUMBER IF~PPLICABLE) BALLOT NO. OR LETTER JURISDICTION I [] SUPPORT <br /> RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET)" CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. <br /> ~ ~25~. ~. f~.'~'~5 I~o~ ~ )Oil ~c. v, ~_¢'..~10~ C~ fi Ct qO7ONAMEOFOFF,CEHOLDER. CAND,OATEOR, PROPONEm <br /> Related Committees Not Included in this Statement: List any committees <br /> not included in this consolidated statement that ere controlled by you or which are primarily OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY <br /> formed to receive contributions or to make expenditures on behalf of your candidacy. <br /> <br /> COMMITTEE NAME I I.D. NUMBER 6. Primarily Formed Committee LIstna,,es of officeholder(s) or candidate(s) <br /> <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> NAME OF,,,~REASURER _ I CONTROLLED COMMITTEE? [] OPPOSE <br /> <br /> COMMITT~EADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> <br /> CITY~,~ k~--' ~ ~(~ (~ Y~. ~lSTATE0 ~1- ZIP~/CODE~.~0 I ~ AREA~i~, Attach~}~'CODE/PHONEcontinuation~'~O~sheets NAMEifnecessaryOF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []OPPOSE[] SUPPORT <br />7. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the b..~.of my knowledge the information contained herein and in the attached schedules <br /> is true and complete. I certify under penalty of perjury under the laws of the S~at the foregoing is true and correct. <br /> <br /> Executed on 7 <br /> . S.GNA .ROL LDE ...'CAND,OA ,S.A PRO. . OR RE .O.S, L O F,CER S.O.SOR <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. STATE MEASURE PROPONENT <br /> <br /> Executed on By <br /> D~TE S~GNATURE OF CON'rROLUNG OFFICEHOLDER, CANDIDATE, ST^TN MEASURE PROPONENT <br /> <br /> FPPC Form 460 (8/99) <br /> For Technical Aseistance: 916/322-5660 <br /> State of California <br /> <br /> <br />