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COVER PAGE <br />,Recipient Committee Type or print in ink. Date Slamp <br />Campaign Statement ;, ,, <br />Cover <br /> (Government Code Sections 84200-84216.5) State_.~ment/cov~.s period Date of electio, ifa JAN 3 i Z00Z Page <br /> from '~//~'t i~'/ {Month. Day. Year) -- <br /> <br /> 1. Typ~ o! Recipient Committee: a, Commi~- ¢om~l~t~ ~a~ ~. t. a, and 4. 2. T~pe o~ Statoment: <br /> <br /> ~ Officeholder. Gandidato Gontrollod Gommi~o ~ Ballot Moasuro Gommi~oo ~reoloction Statement ~ Ouadarly Statement <br /> ~ Slate Gan0idato Election Gommi~oo ~ ~rimadly ~ormod ~ Semi-annual Statement ~ Spocial Odd-Year ~opod <br /> ~ ~ca~l ~ Gontrollod ~ lorminafion StatomonI ~ Supplomont~ ~molocIion <br /> (AlsoC~p~tePa~5) O Sponsored ~ Amendment (Explain below) Statement - A~ach Fo~ 495 <br /> <br /> ~ GeneraIPurposeCommi~ee <br /> O Sponsored ~ Primarily Fo~ed Candidate/ <br /> O Small Contributor Commi~ee Officeholder Commi~ee <br /> <br /> Information ~ I.D, NUMBER Treasurer(s) <br /> 3. <br /> Commi~ee <br /> <br /> 4. Verification <br /> ~ have used al~ reasonable diligence in preparin§ and reviewing this statement and to the best of rny knowledge the information contained herein <br /> cs~i~ un~r p~na~ of perju~ ~nder th~ I~ws of t~ State of California that the fore~oin~ is trus and correct <br /> <br /> EXeCUI~ O~ ' ~te S~nal of easumror~slstantTreasure~ <br /> Executed on ~ ~/~~ By Sitar ute ~ C~,rol,~eho~r, C~te, State M ...... Pro~ R~s~nslble ~r o, ~ns~ <br /> <br /> Executed on By <br /> ~te S~st ute ~ Controlling ~m~Mer, Can~ate, State ~asure <br /> <br /> By FPPC Form 460 (Jun~01) <br /> FPPC TolI-Fr~ Helpllne: 86~ASK-FPPC <br /> <br /> <br />