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Type or print in ink. COVER PAGE-PART 2 <br /> Recipient Committee <br /> Campaign Statement <br /> Cover Page -- Part 2 <br /> Page __ ~'/ of_~ <br /> <br />5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee <br /> <br /> NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE <br /> <br /> OFFICE SOUGHT OR FIELD (INCLUDE LOCATION AND DISFRICT NUMBER IF APPLICABLE) BALLOT NO. OR LE1TER JURISDICTION [] SUPPORT <br /> <br /> RESIDENTIAL/BUSINESS ADDRESS (NO AND STREET) CITY STATE ZIP <br /> /'~ /~ /~)(,.)~(~)~) ~'/~ ~' ~V~/ Ide,ttify the co.t.olling ofliceholder, candidate, or st.te measure propone.t, if <br /> <br /> .AME OF OFF,CEHOLDE.. CANDIDATE. OR PROPO.ENF <br /> <br /> Related Committees Not Included in this Statement: List ally committees <br /> contributionsn°t Included Inorthismakestatementexpendlturesthat areonCOntrolledbehalf of yourbY yOUcandldacy.Or are primarily formed to receive OFFICE SOUGHT OH HELD DISTRICT NO IF ANY <br /> <br /> COMMITI'EE NAME I.D. NUMBER <br /> <br /> 7. Primarily Formed Committee List names of officeholder(s) or candldate(s) for <br /> NAME OF TREASURER CONTROLLED COMMITTEE? which this comnlittee is primarily fornted. <br /> [] YES [] NO <br /> COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BO) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR RELD [ [-~ SHPPOFIT <br /> I <br /> [] OPPOSE <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEtlOLDER OR CANDIDATE OFFICE SOUGHT OR fIELD <br /> SUPPORT <br /> [] OPPOSE <br /> <br /> COMMITTEE NAME I.D. NUMBER <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELB [] SUPPORT <br /> [] OPPOSE <br /> <br /> NAME OF TREASURER CONTROLLED COMMITI EL? <br /> NAME OF OFFICEIIO[ DER OR CANDIDATE OFFICE SOUGItT OR ItELD [] SUPPORt <br /> [] YES [] NO [] OPPOSE <br /> COMMITPEE ADDRESS STREET ADDRESS (NO PO. BOX <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary <br /> <br /> FPPC Form 460 (Jime/0t) <br /> FPPC Toll. Free Ilolplilte: 8661ASK.FPPC <br /> Stale ot CafBomle <br /> <br /> <br />