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Type or print in tnk. COVER FAGE~ PART 2 <br /> Recipient Committee <br /> Campaign Statement <br /> Cover Page -- Part 2 <br /> Page ~ of <br /> <br />5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee <br /> <br /> OFFICE ,~,C~*~,GHT OR HELD (INCLUDE L~C~ION AND DISTRICT NUi~,BER IF APPLICABLE) BALLOT NO. OR LETTER I [] SUPPORT <br /> <br /> RESIDENTiAL/BUSiNESS ADDRESS (NO. AND. SI~REET) CITY STATE ZIP <br /> ~,"7'- /~ [~1~g'1 '~ /~' "1 "/ /~ '/ /~ ~ Identify the controlling officeholder, candidate, or state measure proponent, if any. <br /> <br />.e,at dC tt .,, <br /> e ommi ees ot nc uded in this Statement: List an¥ committees <br /> <br /> COMMI~EE N~E ID. NUMBER <br /> <br /> 7. Primarily Formed Committee Listnamesofofl'lceholder(s) or candldate(s) for <br /> NAME OF TREASURER CONTROLLED COMMI~i-EE? which this committee Is primarily formed. <br /> [] YES [] NO <br /> <br /> COMMiTTi~E ADDRESS STREET ADDRESS (NO PO SOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> [] SUPPORT <br /> [] OPPOSE <br /> <br /> CITY STATE ZiP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> [] SUPPORT <br /> [] OPPOSE <br /> COMMITTEE NAME I.D. NUMBER <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> [] OPPOSE <br /> <br /> NAME OF TREASURER CONTROLLED COMMITTEE? <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> [] YES [] NO [] SUPPORT <br /> ii <br /> OPPOSE <br /> COMMI3~EE ADDRESS STREET ADDRESS (NO RO. BOX) <br /> <br /> FPPC Form 460 (Junel0t) <br /> FPPC Toll-Free Helpllne: 8661ASK-FPPC <br /> State of California <br /> <br /> <br />