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~ or print in ink. COVER PAGE - PART 2 <br />Recipient Committee <br />Campaign Statement <br />Cover Page -- Part 2 <br /> <br />4. Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee <br /> <br /> Related Committees Not Includ~ in this S~tement: Llstany~m~s <br /> <br /> COMM~ENAME LD. NUMBER 6. PHma~ly Fo~ed Commi~e <br /> <br /> ~ YES ~ NO <br /> COMMI~EE~D~ S~EET ~ESS (NO P*O. ~X) N~E OF ~FICEHOLDER ~ C~DIDA~ ~FICE ~GHT OR HELD ~ SUPP~T <br /> <br />7. Ve~fication <br /> <br /> is t~e and ~ete. I ~d~.u~er ~nal~ ~ ~du~ und~ ~e laws of the S~te ~ Calif~ia ~at the for~i~ is t~ and ~e~. <br /> <br /> <br />