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COVER PAGE <br />Recipient Committee Type or print in ink. Date Slamp <br />Campaign Statement ~[~ <br />(Government Code Sections 84200~4216.5) <br /> <br /> I State entcoversperiod Data°felecti°nifapplicablu JUL 3 1 <br /> <br />1. Type of Recipient Committee: ~u~ cor.r.,tt.*,,- complete Par~ ~, 2, =, =.d 7. 2. Type of Statement: <br /> ~] Officeholder, Candidate [] Pdrnadly Formed Candidate/ [] Pre-election Statement [] Quarterly Statement <br /> Controlled Committee Officeholder Committee [] Semi-annual Statement [] Special Odd-Year Report <br /> (AIsoC(~tpletePart4.) (AIsoCompietePart6.) [] Termination Statement [] Supplemental Pre*election <br /> [] Ballot Measure Committee [] General Purpose Committee <br /> O Pdmadly Formed O Sponsored ~ Amendment (Explain below) Statement - Attach Fo~n 495 <br /> <br /> O C0ntmlled O Broad Based ~ ~Z)l'f.t J /O~cr~ ,~t~,~/.l,.,~...,~--- <br /> · <br /> <br /> (Also COmplete Part 5.) <br /> <br /> l l.D. NUMBER <br />3. Committee Information Treasurer(s) <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODEJPHONE <br /> <br /> OPTIONAL: FAX 1 E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS <br /> <br /> FPPC Form 460 (8199) <br /> For Technical Assistance: 916/322-5660 <br /> State of Callfomla <br /> <br /> <br />