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: Type or print in ink. COVER PAGE - PART 2 <br />Recipient Committee <br />Campaign Statement <br />Cover Page -- Part 2 <br /> Pa0e ~- of t ~'~ <br /> <br />4, Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee <br /> NAME OF OFFICEHOLDER OR CANDIDATE NAME OF SALLOT MEASU RE <br /> <br /> OFFICE SOUGHT O~ HELD (INCLUDE LOCATION AND DISTRICT NUMSER IF APPLICABLE) BALLOT NO. OR LETTER I JURISDICTION [] SUPPORT <br /> ~/ ~ (~ I [] OPPOSE <br /> RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CiTY STATE ZIP Identi~y the controlling officeholder, candidate, or state measure proponent, if any. <br /> <br /> Related Committees Not Included in this Statement: LIst any committaes <br /> nor included in this consol/dated statement that are control/ed by you or which are primarily OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY <br /> formed to receive contributions or to make expenditures on behaff of your candidacy. <br /> <br /> COMMITTEENAME JI.D. NUMBER 6. Primarily Formed Committee Llstnamesofofficeholder(s)orcandldate(s) <br /> I <br /> for which this committee Is primarily formed. <br /> <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> NAME OF TREASURER CONTROl-LED COMMITTEE? [] OPPOSE <br /> [] YES [] NO <br /> ~ME OF OFF~C~OLDER OR CANDIDATE OFFIOE SOUGHT OR HELD <br /> CO~4Mrl-rE£ ADDRESS STREET ADDRESS ~NO P,O, SOX') [-~ SUPPDRI' <br /> OPPOSE <br /> <br /> CIT~ STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> [] OPPOSE <br /> <br /> Attach cont/huaflon sheets ff necessary <br />7. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best o! my knowledge the information contained herein and in the attached schedules <br /> is true and complete. I certify under penalty of perjuly under the laws of the State of California that the foregoing is true and correct. <br /> <br /> Executed on By <br /> ASURER OR ASSISTANT TREASURER <br /> <br /> Executed on By. <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STA~ MEASURE PROPONENT <br /> <br /> Executed on By. <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br /> <br /> FPPC Form 460 (8/99) <br /> For Technical Assistance: 916/32~-5660 <br /> State of California <br /> <br /> <br />