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Officeholder, Candidate, COVER PAGE - LONG FORM <br /> -'an~'Controlled Committee Type or print In Ink. Statement covers Dale Stamp <br /> <br /> Campaign Statement - Long Form <br /> (Government Code Sections 84200-84216.5) <br /> SEE INSTRUCTIONS ON REVERSE through q'/~ ~ ~;~' Page / of <br /> Check one of the following boxes to indicate the type of statement belng filed: Date of elecflon SEP 2 3 1990 ForOlflcialUsoOniy <br /> ~ Pre-election Statement (Month, Day, Year) <br /> ~ Supplemental Pre-election Statement (A~ach a completed Form 495 to this statement.) <br /> ~ Special Odd-Year Campaign Report ,~ CITY <br /> Semi-annual <br /> Statement <br /> ~ Termination Statement (A~ach a completed Form 415 to this statement.) <br /> I Officeholder, Candidate, and Controlled Committee II Other Committees Not Included in this Statement: <br /> Included in this Statement comml~ees not included In this consolidated statement that are controlled by you and <br /> NAME OF OFFICEHOLDER OR CANDIDATE any committees of which you have knowledge that are primarily formed to receive <br /> ff O CC~ ~bA ~ contribu,on, or to m.ke expenditures on b.haif of your candldacy. <br /> COMMITTEE NAME <br /> <br /> CITY ~~ e~ ~ATE ?~ ~D~~s Attachadditio,alinformationo, appropriatelylabeledco,tinuationsheets. <br /> III Verification <br /> I have used all reasonable diligence in preparing this statement, I have reviewed the statement and to the best o~y knowledge the information contained herein and in the aflached schedules is true and <br /> complete. I cedify under p~alW ofperju~ under the laws Gf the State of Celilomia that the [oregoing is true a~e~] ~ -- 4 ~ <br /> <br /> An officeholder or candidate who controls a commi~ee must also verify the campaign statement. I have ~e~ all ~easonable difi~nce and to the best of my knowledge the treasurer has used all <br /> reasonable diligence in preparing this statement. I have reviewed Ihe statement end lo the best of my knowledge~e inf~atl~co~in~ and in Ihe altached schedules is true and complete. I cedify <br /> under penalty of periu~ under the laws ol the State of Calilornia lhal the foregoing is true and correct. / <br /> <br /> Executed on At By <br /> Executed on At By <br /> <br /> FOR INFORMATION REQUfRED TO 8E PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977. SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISI~N~ OF THE POLITICAL REFORM ACT. <br /> State of California Fair Political Practices Commission <br /> <br /> <br />