Laserfiche WebLink
Type or print in ink. COVER PAGE- PART 2 <br /> R ipient Committe <br /> Campaign Statement <br /> Cover Page-- Part 2 <br /> <br />5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee <br /> <br /> NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE <br /> <br /> OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. Off LET[ER JURISDICTION [~ SUPPORT <br /> <br /> D <br /> RESIDENTIAL/BUSINESS ADDRESS ( O. ) CITY STAI~ ZiP <br /> ~ ~{~O~C~ ~41~ ~'"~'~'~'(~_~ ~"'¢~ ~'~¢~.~ Identify the controlling officeholder, candidate, or state measure proponent, if anY.NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT <br /> <br /> Related Committees Not Included in this Statement: List any committees <br /> not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO IF ANY <br /> contributions or make expenditures on behalf of your candidacy. <br /> <br /> IiI'D' NUMBER 7. Primarily Formed Committee List names ol officeholder(s) or candidate(s) for <br /> COMMITTEE NAME <br /> <br /> NAME OF TREASURER I CONTROLLED COMMITrEE? which this committee is primarily formed. <br /> [] YES [] NO <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> COMMITTEE ADDRESS STREET ADDRESS {NO PO. BOX) [] SUPPORT <br /> [] OPPOSE <br /> <br /> CITY STAT~ ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> [] SUPPORT <br /> [] OPPOSE <br /> <br /> COMMI"Ci'EENAME ILO. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> [] OPPOSE <br /> <br /> NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> [] YES [] NO [] OPPOSE <br /> COMMITrEEADDRESS STREETADDRBSS (NOPO. BOX) <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary <br /> <br /> FPPC Form 460 (JuneJ01) <br /> FPPC Toll-Free Helpline: 866/ASK-FPPC <br /> State of California <br /> <br /> <br />