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~J~ r~ L~ [J ' ' J~&J ~ JiiJJi~:J <br />Recipient Committee ~ ' ',..o~.--- ....... ..... ."~'Z~.- -,..~...., A,,,.,,~,...,,L: ':' '_--: _ __ ,=, .~.--,,,,"m'~"~"--JU," ! <br /> /. II"J IIIII <br />,~,~,,~,~,,o,~,~,,~ · ~.~t, ~~'/~ o Ilnil .' ..... <br /> IpUi JAN t:5 mz <br />FIl~s~c~yorl~hml ofm~S~m~ ~1 of Ihb form wllh: Ihls f~rm ~llh: ~. Commllll~ (~,/.B~,~)j j~ j <br /> Polidc,I R~fonn Division 11mci~yorcoumyof~r, irony, who ~.~ ~ . a ,"~ ~xJj' ~OFRDW~B~"-' ' ' <br /> P.O. Box 1467 <br /> receives the ~mmiu~ s original J J U,i c~ CLERK <br /> Sacramemo. CA 95812-1467 <br /> <br />I Committee Inlormalion II TreasurerandOther~incipnlOfficers <br /> <br /> ~ILING A~RES~ (IF DIFFERENT lil~ CO~ll TE~S) <br /> <br /> ~IL~O A~ E~: JIF DIFFEflENJ 111~ OOMMIflEE'S) <br /> <br /> C~ ~~ ~STATE' ~~~JZIP C~E ~ A~j ~~ ~~ ~IE NUMBER Cl~ STALE ZIP C~E ~ C~I~iME ~ ~E <br /> <br /> Attach additional J~or~tion on appropriately labeled continuation sheets, <br /> <br />III Controlled Committee <br /> Is this committee con.oiled by ~ officeholder, cmtflidalc, or stoic m~surc pm~ncnl? (See definition` and it~ortaflt i~or~tiofl off reverse.) <br /> ~ Yes (Complele Ihe following) D No ........ ?..: ~..,,..;:, <br /> ·If Ibis commilt~ ia con~olIM by ~ officeholder or a candidal=, list ~ n~e of ~ con.oiling officeholder or c~didale, ihe elective office ~ught or held. and dis~icl <br /> numar, If any. If this commill~ is conwoll~ by more titan one candidal list Ihe n~e of ~ch con.oiling candidate. <br /> · if lifts co;nmllt~ is conRolIM by a s~le m~sure pm~nenl, list lira ha;ne of the stole m~sure pro.nero. If this commlll~ is con.oiled by more than one stole me.ute <br /> pro~nent, list Ihe name ofe~h smI~ measure pTo~nent. <br /> · If dfis committ~ ac~ jointly wilh another conuolled commill~, Iisi the name and identification numar of the Other controlled commitl~. <br /> <br /> Attach additional information on appropriately labeled continuation sheets. <br /> You must complelo Iho Verification on Pago 2. <br /> <br />I(lll IIi1{ ~ilIA^II~ ill I~1 ¢ IHIIII~II I¢) flt~ I'llr IVIIq:ll I~t Yr)~l Iq fllfil I^III I(I lift! II I1( JIIM^ IIF~II I'II^H IIr;ffl ^l;I Ill: HI/It fil-I~ IIlIgliMAIIQtl MNIUAI, DIq (~^1~1'^1~II I)l~L;I L)~UIII~ I'll(iVl~lOllJi (~1: IIt1~ I'~,)t IIIC.^l II11 DIIM/%;I <br /> <br /> #ltd# Itl IhllJltllllht t~11 Ihllllh,.I lq,Hit, t! q lililllllll# #hill <br /> <br /> <br />