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Type or print in ink. COVER PAGE-PART 2 <br /> Recipient Committee <br /> Campaign Statement � �� � � • 1 <br /> Cover Page—Part 2 <br /> 5. Officeholder or Candidate Controlled Committee <br /> NAME OF OFFICEHOLDER OR CANDIDATE <br /> ����� C��� fi� <br /> OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) <br /> ��f�U o1G�� "C.`�°�c�Y ���`-%�-%C� <br /> RESIDE IAL/BUSINESS ADDRESS (NO.A, STREET) CITY STATE ZIP <br /> Related Committees Not Included in this Statement: �rstanycommraees <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 /> COMMITTEE NAME <br /> NAME OF TREASURER <br /> I.D. NUMBER <br /> CONTROLLED COMMITTEE? <br /> ❑ YES ❑ NO <br /> COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> COMMITTEE NAME <br /> NAME OF TREASURER <br /> I.D. NUMBER <br /> CONTROLLED COMMITTEE? <br /> ❑ YES ❑ NO <br /> 6. Primarily Formed Ballot Measure Committee <br /> NAME OF BALLOT MEASURE <br /> BALLOT NO.OR LETTER <br /> Page � of�� <br /> ❑ SUPPORT <br /> ❑ OPPOSE <br /> Identify the controlling officeholder, candidate, or state measure proponent, if any. <br /> NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT <br /> OFFICE SOUGHT OR HELD <br /> DISTRICT NO. IF ANY <br /> 7. Primarily Formed Candidate/Officeholder Committee List names of <br /> officeholder(s)or candidate(s)for which this committee is primarily formed. <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> � SUPPORT <br /> � OPPOSE <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> � SUPPORT <br /> ❑ OPPOSE <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT <br /> ❑ OPPOSE <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT <br /> ❑ OPPOSE <br /> COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) <br /> CITY STATE ZIP CO,DE AREA CODE/PHONE Atfach continuation sheets if necessary <br /> FPPC Form 460(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br /> State of California <br />