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Recipient Committee <br />Campaign Statement <br />Cover Page — Part 2 <br />5. Officeholder or Candidate Controlled Committee <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) <br />Type or print In Ink. <br />RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP <br />Related Committees Not Included in this Statement: I.ratanycommlttees <br />not Included In this statement that are controlled by you or are primarily formed to receive <br />contilbuilons or make expenditures on behalf of your candidacy. <br />CITY STATE ZIP CODE AREA CODE /PHONE <br />COMMITTEE NAME I I.D. NUMBER <br />NAME OF <br />(NO P.O. BOX) <br />❑ YES ❑ NO <br />CITY STATE ZIP CODE AREA CODEIPHONE <br />Page 2 <br />6. Primarily Formed Ballot Measure Committee <br />NAME OF BALLOT MEASURE <br />of 3 <br />BALLOT NO. OR LETTER I JURISDICTION I r-1 SUPPORT <br />❑ OPPOSE <br />Identify the controlling officeholder, candidate, or state measure proponent, If any. <br />NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT <br />NO. IF ANY <br />7. Primarily Formed Candidate /Officeholder Committee List names or <br />oMceholder(s) or candidates) 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 (Januaryltls) <br />FPPC Toll-Free Helplino: 8661ASK•FPPC (8861275 -3772) <br />State of Californla <br />