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~-'~ ;~,.' ~. <br /> COVER PAGE <br /> , ,~c,~,,en, Committee Type or print in ink. Date Stamp <br /> Campaign Statement <br /> CoverPage ~ l~r~,~ <br /> (Government Code Sections 84200-84216 5) ~ ~.~ ~ <br /> Statement covers period Date of election if applicable: <br /> from ~>"'~OI I ~ ~ (Month, Day, Year) FEB 0 4 ~00Z Page [ of ~ <br /> For Official Use Only <br /> <br /> l. l~p~ o[ ~seipiont Committs~: ~ll Commia~ - Com~let* ~a~ 1, 2, a, ~nd 4. 2. l~pe o[ Statoment: <br /> <br /> ~ Officeholder, Candidate Controlled Commi~ee ~ BallotMeasureCommi~ee ~ PreelectionStatement ~ Qua~erlyStatement <br /> 0 State Candidate ElectionCommi~ee 0 Primarily Formed ~ Semi-annualStatement ~ Special Odd-Year Repeal <br /> 0 Recall 0 Controlled ~ Termination Statement ~ Supplemental Preelection <br /> <br /> ~ GeneraIPurpose Commi~ee <br /> 0 Sponsored ~ Primarily Formed Candidate/ <br /> ~ Small Contributor Commi~ee Officeholder Commi~ee <br /> <br />3. Committee Information ~ I.D. NUMBER Treasurer(s) <br /> <br /> / <br /> <br />4. Verification <br /> <br /> under penalty of perju~ under the laws of the State of Oalifornia that the foregoing is true ~ c~rr~ ~ <br /> <br /> Executed on 0 3 1 0 ~ ay <br /> <br /> <br />