Laserfiche WebLink
Type or print in ink. COVER PAGE - PART 2 <br />Recil~'lent Committee <br />Campaign Statement <br />Cover Page-- Part 2 <br /> Page~'' of a~- <br />4. Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee <br />NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE <br /> <br /> RESIDE~USINESS A~RESS (NO. AND STREED Cl~ STATE ZIP Idenfl~ ~e con,oiling officeholder, candidate, or s~te measure proponen~ if any. <br /> <br /> Related Commi~ees Not included in this Statement: List any committees <br /> <br /> C~MI~EE~ME I.D. NUMBER 6. Primarily Formed CommiEee u,~,=,, of officeholder(s) orcandldate(s) <br /> for which ~ls committee Is primarily formed. <br /> <br /> NAME ~ OFFICEHO~ER OR CANDIDATE OFFICE SOUGHT OR HE~ ~ SUPPORT <br /> D ~s D NO ~ oP~os~ <br /> C~MI~EE A~RESS STREET ADDRESS (NO P.O. BO~ ~ME OF OFFICEHOLDER OR C~DIDATE O~ICE SOU~T OR HE~ ~ SUPPO~ <br /> ~ OPPOSE <br /> <br /> CI~ STA~E ZIPC~E AREACOD~HONE N~EOFOFFICEHO~ERORC~DIDATE OFFICE SOUGHT ORHELD ~ SUPPORT <br /> ~ OPPOSE <br /> <br /> ARa~ con~nua~on sheets if ne~ssa~ <br />7. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of my ~owledge the information contained herein and in the attached schedules <br /> ~ true and co~lele, I ce~ify under penal~ of perju~ under the laws of the State of Cal~ornia that the foregoing is true and corr~t. <br /> <br /> DATE SlG~m~ ~ C~TR~U~ OFFICE~OER. C~, STATE ~AS~E PROPONENT <br /> ~T~ S~E ~ CONTR~LING OFFICEH~DER. C~TE. STA~ ~ASURE PROPONENT <br /> <br /> FPPC Form 460 (8/99) <br /> For Technical Assistance: 916~32~-5660 <br /> State o! Calilornia <br /> <br /> <br />