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Recipient Committee Type or print in Ink. COVER PAGE -PART2 <br />Campaign Statement e CALIFORNIA RM • <br />Cover Page — Part 2 <br />Page 2 of 3 <br />5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee <br />NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE <br />OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) <br />RESIDENTIAVBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP <br />Related Committees Not Included in this Statement: Listany committees <br />not Included In this statement that are controlled by you or are primarily formed to receive <br />contributions or make expenditures on behalf of your candidacy, <br />COMMITTEENAME I I.D. NUMBER <br />COMMITTEENAME <br />NAMEOFTREASURER <br />❑ YES ❑ NO <br />STATE ZIP CODE AREA <br />NUMBER <br />❑ YES ❑ NO <br />CITY STATE ZIP CODE AREA CODEIPHONE <br />BALLOT NO. OR LETTER JURISDICTION I ­1 SUPPORT <br />❑ OPPOSE <br />Identify the controlling officeholder, candidate, or state measure proponent, if any. <br />NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT <br />DISTRICT NO. IF ANY <br />7. Primarily Formed Candidate /Officeholder Committee ustnames of <br />officeholder(s) or candidate(s) for which this committee is primarily formed <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />Attach continuation sheets If necessary <br />FPPC Form 460 (January/0S) <br />FPPC Toll -Free Helpline: 888 /ASK -FPPC (88612753772) <br />State of California <br />