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COVER PAGE <br /> Type or print In ink, <br /> <br />Recipient Committee <br />~: vmePrapi ga~ll eS ~_.l~maent <br /> ~ art2 <br /> <br /> · Controlled Committee 5. Ballot ~ure Committee <br />4. Officeholder or Candidate ~ o~^~o~ <br /> ~ [] SgPPORT <br /> <br /> Re~,ated Committees Not Included in this Statement; ;-~f any ~ommYn~es OFFICE SOUGHT OR HELD <br /> <br /> 6. Primarily Formed Committee <br /> <br /> 7. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and [o the besl of m ' knowledge the information contained herein and in ~e attached schedules <br /> is true and comple[e. I c~rti~ un~r penally of perju~ u.derthe laws of the State~m~ L the foregoing is true and c0rrec,. <br /> <br /> M/lo/-- <br /> <br /> <br />