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COVER PAGE <br />RecipietltCommittee Type or print in ink. ~ DateS,amp <br />Campaign Statement <br />(Government Code Sections 84200-84216.5, ' <br /> <br /> S~tement covers ~od Date of election if applicabl <br /> (Mon~,Dey. Year, O~N ~ 1~000 <br /> <br /> ·rough ~ ~ [~ ~ ~ q ~ :lqY OF REOWOOD CITY <br />SEE INSerTIONS ON REVERSE CITY C[.E~ <br /> <br /> ~ Officeholder. Candidate ~ Primarily Formed Candidate/ ~_ Pre-eWction Statement ~ Qua~mrly Statement <br /> Controlled Come,tee Officeholder Committee ~ Semi-annual Statement ~ Special Odd-Year Repo~ <br /> ~ commie Pa~ ~.) ~ Compm;e Pa~ 6J ~ Te~ination Statement O Supplemental Pre-election <br /> ~ BaJlot Measure Comm~tee ~ General Pu~ose Come,tee ~ Amendment (Expiain below) Statement - A~ach Form 495 <br /> ~ Primari~ Formed O Sponsored <br /> O Controlled O Broad B~sed <br /> O Sponsored <br /> <br />3. Commiffee Information ,.o~,~ ~ ~ ~ Treasurer(s) <br /> <br /> CITY STATE ZIP COOE AREA CODE~PHONE CITY STATE ZIP COOE AREA CODE/PHONE <br /> <br /> OPTIONAIJ FAX/E-MAILADDRESS OPTIONAL: FAX/E-MAILADDRESS <br /> <br /> FPPC Form 460 (8/99) <br /> For Technical Assistance: 916~322-5660 <br /> State of C~|ifornla <br /> <br /> <br />