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Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />Type or print in ink. <br />Statgmept ~oyers period <br />from // ///p 3 <br />through `~ ~~ ~~ <br />Date of election if <br />(Month, Day, <br />JUL 2 5 2003 <br />COVER <br />Page of ~..e <br />(;iTY GF F.L„_, ~ For OfFlcial Use Only <br />CITY Ccn~ <br />2. Type of Statement: <br />^ Preelectlon Statement ^ Quarterly Statement <br />Semi-annual Statement ^ Special Odd-Year Report <br />^ Termination Statement ^ Supplemental Preelection <br />^ Amendment (Explain below) Statement -Attach Form 495 <br />Type of Recipient Committee: An commideea -complete Pada t z, a, ana 4. <br />r <br />~~ Officeholder, Candidate Controlled Committee ^ Ballot Measure Committee <br />/ <br />Q State Candidate Election Committee Q Primadly Formed <br />Q Recall Q Controlled <br />(Also Ganplefe Part S) Q Sponsored <br /> (Also Cornpkfe Part 5) <br />^ General Purpose Committee <br />Q Sponsored ^ Pdmartly Formed Candidate/ <br />Q Small Contributor Committee Officeholder Committee <br />Q Political Party/Central Committee (Also CornWere Part ~) <br />3. Committee Information I I.D. NVMBER U~/D~ ~~ <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) / T <br />~~-P~ec~ J ~m l~a~n~e~f <br />OPTIONAL: FAX / EMAIL ADDRESS <br />Treasurer(s) <br />D <br />MAILIN ADDRESS r <br />~0~~ UJ~i,OOl2 Ay.~hue 1365/~a~ <br />K~dwooa~ c:~~ l~ Y~o~~, <br />NAME OF AS~SAIrS-TANT TREASURER, IF NY <br />~/ ' / <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in prepadng and reviewing this statement and to the best of my knowledge the informati conta ed herein and in the attached schedules is true and complete. I <br />certify under penalty of perjury under the laws of the State of California that the foregoin ', a and correct. <br />rl- aa2-D3 t - <br />Executed on BY <br />Dale i ofT surer,xASSisla Treasurer <br />Executed on ~ ~ ~~~~ ~ RY <br />4~ SigneWreol COllhelX .Can ' ale, Stale Measure PropmanlorfiesponslUe O(ficeroFSponsor <br />Executed on _ _ RY c ..n..ed P....waLrv/1KrcMIAm (1nMNate Statx AAxapnH PrcNWnen[ <br />Executed on RY FPPC Form 460 (June/01) <br />pate SignaWre of Conlydling OFmhoMer, CaMitlale, Slate Measure Preporlent <br />FPPC Toll-Free Helpline: 666/ASK-FPPC <br />State of California <br />CITY STATE ZIP CODE AREA CODEIPHONE <br />