Laserfiche WebLink
Type or print in ink. COVER PAGE - PART 2 <br /> Recipient Committee <br /> Campaign Statement <br /> Cover Page-- Part 2 <br /> p,.e ~"~ of ~ <br /> <br />5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee <br /> NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE <br /> <br /> OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION I [~ SUPPORT <br /> <br /> RESIOENTIAUBUSINESS (NO. STREET) ~ identify the controlling officeholder, candidate, or state measure proponent, If any. <br /> <br /> .~ , ~ ~/ ,AME OF OFF,CEROLDER. CANDIDATE. OR PROPO.ENT <br /> <br /> Related Committees Not Included In this Statement: Llstsnycommlttees <br /> <br /> net Included In this statement that are controlled by you or are prfmertiy formed to receive OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY <br /> contributions or make expenditures on beheff of your candidacy. <br /> <br /> COMMrn~E <br /> NAME <br /> I <br /> I,D. <br /> NUMBER <br /> I 7. Primarily Formed Committee List names of officeholder, s) or candidate(s) for <br /> NAME OF TREASURER ~ CONTROLLED COMMITTEE? which this committee Is primarily formed. <br /> I ~ YES [] NO <br /> COMMITI'EE ADDRESS STREET ADDRESS (NO P.O, SOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD I [-~ SUPPORT <br /> I <br /> OPPOSE <br /> <br /> CITY STA~E ZIP COOE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> SUPPORT <br /> [] OPPOSE <br /> <br /> COMMIi it:t: NAME I I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ~-~ SUPPORT <br /> I <br /> [] O~POSE <br /> <br /> .~E OF T.~URER I CO.TR~LED COMM.~EE~ .AME OF ~F,CE.~DE. OR CAND,DATE OFF,CE SOUG.T OR.ELD <br /> I [] ~S [] NO DDOP~sESUP"ORT <br /> CO~VlMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) <br /> <br /> CITY STATE ZiP CODE AREA CODE/PHONE Attach continuation sheets If necessary <br /> <br /> FPPC Form 460 (June/01) <br /> FPPC To#-Free Help#ne: 866/ASK-FPPC <br /> State of California <br /> <br /> <br />