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Amendment to AMENDMENT Campaign Disclosure Statement Typeor p,intintnk This form must be used to amend statements filed pursuant to Government Code Sections 84200-84216.5. and must be filed with ell AUG 2 01999 Fo, Off,c~a, Use filing officers who received the statement being amended. NOTE: Do not use this form to amend a Statement of Or, I" al0. Candidate Intention. Form 501, or a Campaign Rank Account, Form S02 Use the actual Form 410. 501 or 502 amendments The information required in Part I must ¢orEeslx~nd to the Information Ixovicled on the campaign statement being amended. ; ' I Name of Filer (Seeimportantinformationonreverse.} II :nt NAME OF(/~'~ ~//~/--~/'/FILER ~/~~ Il ~ ^wt..re)I'D' NUMBER A. statement, Form ND.The following information/q~0 ,amends campaign disclosure MAIUNG ADDRESS OF FILER ,NO AND STREET} executed on ~ for the period ~ through Q t.F/0 ~..~"'"'- 8. lhe amended information a~fects items on the: AREACODE/DAYTIME PHONE NUMRER [] CoverPa~e [] AIIocItlo~Pege [] SummoryPa~e NAME OF TREASURER IF RECIPIENT COMMITTEE C. Describe the changes below. Include in detail all information you wish to ~:7'~c-/.~/~ ~ ~//~,/~- become a part of your official campaign statement. Please attach a cover PERMANENT ADDRESS OF TREASURER: (IF APPLICABLE) (NO. AND STREET) page, summary page and/or appropriate schedule(s) to th s Form 40S if ~c~ 7 L~/~.~Z/j.~o ~/~ necessary for clarification. Include additional informer on on appropr - ately labeled continuation sheets. (Number of sheets attached .) ClT.~ ~) ~ /~ . STATE ZiP CODE AREA CODE/D...AYTIME PHONE NU~(ABER III Verification (Se · im~'ta/~' in formet~on Of 1 re verse.) I h~ve u~ all rea~nable diligence in pre.ring this ~atement. I h~ve review~ the ~atement and to the ~st of my k nowl~ge the information contain~ herein and in the a~ached ~hedul~ is true and complete. I ce~ify under ~na~ of ~rju~ u~er the~ ~tate of California that the foregoing is true and CO~ / ~ Offkeh~r, cand~ate, state measure pro~e~, m s~n~ comm~ ~s~sl~ ~ker ver~t~: ~ have u~d all reachable dilige~e and to the ~st of my kn~l~ge the treasurer has u~d all reachable diligence in preparing this statement. I have review~ the ~atement a~ to the ~st of my k nowise the information contained herein is true and complete. I ce~ify under ~na~ty ~f ~rJury under the ~a~ ~f the ~tate ~f Ca~ifornia that the f~reg~ing is true and c~rre~ ~ . / ~ Executed on At By Executed on At By State of Cal~ornia Fair Pol~kal Pra~ices Commission