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Type or print in ink, COVER PAGE - PART 2 <br />Recipient Committee <br />Campaign Statement <br />Cover Page -- Part 2 <br /> <br /> Page <br /> <br />4. Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee <br /> <br /> NAME OF OFFICE~ER OR CANDIDATE NAME OF BALLOT MEASURE <br /> <br /> OFFICE SOUGHT OR H ELD (INC~z~IDE LOCATIO~J~.ND DISTRICT N~JMBE~ IF~PPLICABLE) \ BALLOT NO. OR LETTER JURISDICTION [] SUPPORT <br /> [] OPPOSE <br /> AD ~.(.~.~.~.~'~ ~.~ IP Identifythecontrollingofficeholder, candidate, or state measure proponent, ifany. <br /> <br /> N^.EOFOEF,OEHOLDER. CAND,DATEOR, FROFONENT <br /> <br /> Related Committees Not Included in this Statement- : List any commiitees <br /> not included in this consolidated statement that are cont~lled by you or which are primarily OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY <br /> longed to receive contributions or to make expenditures on behalf of your candidacy. <br /> <br /> COMMITTEE NAMENAME OF TREASURERI.D. NUMBER CONTROLLED[] YES COMMITTEE? [] NO6.NAME forwhichthiscommi~-~eisprimarilY~°rmed.Primarily OF OFFICEHOLDER Formed OR CANDIDATE Committee OFFICE List names of o~lceholder(s) or candidate(s) SOUGHT OR HELD [][] OPPOSE SUPPORT <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) [] SUPPORT <br /> [] OPPOSE <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> [] OPPOSE <br /> <br /> Attach continuation sheets if necessary <br />7. Verification <br /> <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules <br /> is true and complete, I certify under penalty of perjury under the laws ~et S~,,~te,~of California that the foregoing is true and correct. <br /> Executed on,/Y"~., bl'--~ 'IsoIoI <br /> <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR <br /> Executed on By, <br /> <br /> Executed on By, <br /> <br /> FPPC Form 460 (8~99) <br /> ForTechnical Assistance: 9161322-5660 <br /> State of California <br /> <br /> <br />