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Recipient Committee Type or print in Ink- COVERPAGE -PART2 <br />Campaign Statement CALIFORNIA 460 <br />0 <br />FORM 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 />RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP <br />Related Committees Not Included in this Statement: List any committees <br />not Included in this statement that are controlled by you or are primarily tamed to receive <br />contributions or make expenditures on behalf of your candidacy - <br />COMMITTEENAME I.D. NUMBER <br />NAME OF TREASURER <br />❑ YES ❑ NO <br />(NO PO. BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />NAME <br />D NUMBER <br />I ❑ YES ❑ NO <br />BOX) <br />CITY STATE ZIP CODE AREA CODEIPHONE <br />Page z of 3 <br />6. Primarily Formed Ballot Measure Committee <br />NAME OF BALLOT MEASURE <br />BALLOT NO OR LETTER I JURISDICTION I C1 SUPPORT <br />❑ OPPOSE <br />Identify the controlling officeholder, candidate, or stale measure proponent, if any, <br />NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT <br />UrrlUL 5000K I UK HeLU <br />NO IF ANY <br />7. Primarily Formed Candidate /Officeholder Committee Listoames of <br />officehofderfs) or candidate(a) for which this committee Is primarily formed. <br />NAME OF OFFICEHOLDER <br />OR CANDIDATE <br />OFFICE SOUGHT OR <br />HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />NAME OF OFFICEHOLDER <br />OR CANDIDATE <br />OFFICE SOUGHT OR <br />HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />NAME OF OFFICEHOLDER <br />OR CANDIDATE <br />OFFICE SOUGHT OR <br />HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />NAME OF OFFICEHOLDER <br />OR CANDIDATE <br />OFFICE SOUGHT OR <br />HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />Attach continuation shoats If necessary <br />FPPC Farm 468 (January/06) <br />FPPC Toll -Free Helplins: 8661ASX -FPPC (668/2764772) <br />State of California <br />