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'"'" ' '-vmcenomaer, Candidate, COVER PAGE - LONG FORM <br /> <br />(Government Code Sections 84200-84216.5) ~/ ~O) ~ ~ ?~ ?~ ~h~, ~::~; L '~ ~'= ~" ~-, <br />~E ~TR~T~S ~ ~VER~ thigh " ' ~, ~ ~1 ol.~ <br />C~ one of the fot~wing ~xes to indi~te the ty~ of stat~ent being filed: Date of election if applic~le: ~ 1 : For Official Use ~ly <br /> <br /> ~ Su~l~l~ Pr~ Statement (~h a c~ F~ 495 Io this s~l~ent.} ~ ~ ~"~ ~ <br />  S~ Od~Year Campai~ Re~ % ~ ~-~ · <br /> Ter~nat~ Statement (Atta~ a ~eted F~ 415 Io this slal~l.) ~ :: ~' ?' ~' ' ;: ':' ~ <br /> Office'~older, candidate, and Controlled Commi~ee II Oth~'r-~'~'~ittees Not Included in this Statement: <br /> Included in this Statement co~ees not iecl~ed in this ~e~lidated statement t~i a~ c~l~ by you <br /> <br /> 11 ~ ~ ~ ~ ~ ~ ~ ~ ~n~bufions or to ~ke expendi~s on ~half of your <br /> OFFICE S~HT ~ HELD ~NCLUDE L~TI~O ~RICT N~BER iF APPLICA~E) C~ITTEE ~E ] I.O, ~MBER <br /> I <br /> RESIDENTIAL OR B~SINESS ADDRESS (NO. ~O STREETI NAME OF TREASURER CONTROLLED COMMITTEE? <br /> . . ~YEs D~ <br /> CITY ~TATE ZIP CODE ~EA COQE~AYT~ME PHONE <br /> <br /> C~MI~TEE NAME ~ ~ I D. NUMBER CiTY S~ATE ZIP CODE AREA C~E~AYTIME P~NE <br /> COMMITTEE ADDRESS(~. AND STREET) I I.D. NUMBER <br /> <br /> CITY ZiP C~E <br /> ~EACODE~AYTIME ~ONE ~ YES ~ <br /> <br /> N~E ~ TEASURER <br /> <br /> Verification <br /> I ~ve used all reas~a~ di~e in ~g ~s s~t~t. I h~e r~i~ fie s~te~t ~ to the ~t 0f my k~e~ ~for~ ~t~ ~n ~ in t~ a~h~ ~s is tr~ a~ <br /> <br /> / <br /> <br /> 1~ ~ ~ STATE <br /> ~~CA~I~T~I~~ <br /> Ex~uled ~ At By <br /> DATE Cl~ ~ STATE S~ ~ ~T~FFI~R <br /> <br /> Ex~ut~ ~. At By <br /> ~ cl~ A~ STATE ~T~ ~ ~DATE~CE~L~R <br /> FOR INFOR~TION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFOR~TION P~CTICES ACT ~ 1977. SEE INFOR~TI~ MANUAL ON ~PAIGN ~SCLOSURE PRO~SIONS OF THE__~L!TIC~ REF~M ACT. <br /> State of California Fair Political Practices Commi~ion <br /> <br /> <br />