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officeholder, Ca ndidate, Ty. or print in ink. COVER PAGE- LONG FORM <br /> and Controlled Committee Statement coversperlod DateStamp <br /> Campaign Statement -- Long Form <br /> ,GovernmentCodeSectlonsSa200-.42165) <br /> SE E INSTRUCTIONS ON REVERSE through ~//--~ ~__c~47~ ' <br /> <br />  Pre~le~ion Statement (M~, ~y, Year) <br /> Supplemental Pre~l~mn S~atement (A~ach a completed Form 4~5 to this statement.) <br />  ial ~d-Year Cam~ign Re~K <br /> -annual Statemen~ <br /> ination StaTement (A~ach 4 completed From 415 to this s~atement.) <br />I, Officeholder. Candidate, and Controlled Commi~ee II Other CommiKees I Iot~ Inclu~ed~ <br /> Included in this Statement c~m~ees~ti~l~din t~c~t~nate~nl I~t are C~r~l~y~ a~any <br /> NAM~ OF ~FKEH~DER OR ~N~TE c~m~ees of ~h y~ ~ve ~ I~C a~ ~arl~ f~m~ ~o rece/~ C~t~i~ <br /> <br /> NAME OF TRE~ER C~EE ~SS ~. AND ST~Efl , <br /> <br />Iii Verification <br /> I hivl u~ ell re~nlble dil~e~e in pre.ring this statement. I have revim~ the ~a~ement and to t~ M~ o~ my knee the ink--ion c~in~ herein and in the i~Khed sch~ul~ is <br /> i t~uee~comMm. I~i~u~er~a~ol~ryun~rtheli~oft~S~teof~liforniathatthefM~oi~&truei~c6.~. <br /> <br /> An ~lce~r m ~te w~ c~tras a c~m~fl must <br /> reachable dihge~e in pre~riflg this statement. I have reviewed the statement i nd to the ~ of my k n~l~ge th~in~mation con~in~ ~erein ~n-~e a~c~ Khed u es s true and <br /> complete I ce~i~ u~der ~na~ of ~rju~ under the laws of the State of California that the foregoing is tr~ i~d c~r~.~ <br /> <br /> <br />