Laserfiche WebLink
Type or print in ink. COVER PAGE-PART2 <br /> R~oipient Committc~ <br /> Campaign Statement <br /> Cover Page -- Part 2 <br /> Page ,~--of ~ <br /> <br />5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee <br /> <br /> NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE <br /> <br /> OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LE~ER JURISDICTION ~ SUPPORT <br /> <br /> ~ESIDENTIAUBUSINESS ADD'ESS (NO. AND STREET) CITY ~A~ ZIP <br /> Identify the controlling officeholder, candidate, or state measure proponent, if any. <br /> <br /> Related Commiffees Not Included in this Statement: List any commi~s <br /> not included in ~is statement that a~ controlled by you or a~ primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY <br /> contributions or make ex~nditures on ~half of your candidacy. <br /> <br /> COMMI~EE NAME LD, NUMBER <br /> <br /> 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for <br /> NAME OF TREASURER CONTROLLED COMMITI-EE? <br /> which this committee is primarily formed. <br /> [] YBS [] NO <br /> <br /> COMMITrEEADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> E} SUPPORT <br /> [] OPPOSE <br /> <br /> CITY STAT ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> [] SUPPORT <br /> [] OPPOSE <br /> COMMITrEE NAME I.D. NUMBER <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> [] OPPOSE <br /> <br /> NAME OF TREASURER CONTROLLED COMMITTEE? <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> [] YES [] NO [] OPPOSE <br /> COMMITrEEADDRESS STREET ADDRESS (NO P.O. BOX) <br /> <br /> CITY STAT ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary <br /> <br /> FPPC Form 460 (June/01) <br /> FPPC Toll-Free Helpline: 866/ASK-FPPC <br /> State of California <br /> <br /> <br />