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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 /> Page ~ of ~ <br /> <br />4. Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee <br /> NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE <br /> <br /> OFFK~E SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER I JURISDICTION [] SUPPORT <br /> <br /> RESIDENTIA!.JBUSINESSADDRESS (I~O. ANDSTREF~ CITY ~ STATE ZIP Identifythecontrollingofficeholder, candida~e, orstatemeasureproponent, ifany. <br /> i ¢ wovCO O y, / NAMEOFOFFIOE.OLDBR, OANO,.TEOR, PROPONENT <br /> Related Committees Not Included in this Statement: List any committees <br /> not Included In this consottriateri statement that are controlled by you or which are pr/madly OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY <br /> fo~rned to receive contributions or to make expenditures on behalf of your candidacy. <br /> <br /> COMMITTEE NAME I.D. NUMBER 6. Primarily Formed Committee u.t...es ofofficeholder(s) or candidate(s) <br /> for which this committee is primarily fo~med, <br /> <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> NAME OF TREASURER CONTROLLED COMMITTEE? [] OPPOSE <br /> [] YES [] NO <br /> COMMITrEE ADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> [J <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 of the State of California that the foregoing is true and correct. <br /> <br /> "~-/'~/~ ~ ~/ By SIGNATURE OF CONTROLLING ('~F~"CEH{ I~DE R, CA'ATE MEASURE PROPONENT OR RESPONSIBLE OFFICEROF SPONSOR <br /> <br /> Executed on By <br /> DATE SIG NATU RE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br /> <br /> Execuled on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br /> <br /> FPPC Form 460 (8/99) <br /> For Technical Assistance: 916/322-5660 <br /> State of California <br /> <br /> <br />