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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 ,¢-2-~ of ~ <br /> <br />4. Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee <br /> NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE <br /> <br /> RESIDENTIAL/BUSINESS ADDRES_S {NO. AND,~'~EE'[') CITY . STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. <br /> /-. ~,4~,~ (~4~ ~ ~~ ~^~o~o~,o~.o.~.o^~,~^~o~.~o~o~.~ <br /> Related Committees Not Included in this Statement: Li$1anycommi#ee$ <br /> not included in I~/s cofi$ol/daled statement that are controll~ by you or which are primarily OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY <br /> formed to ~ec~ive contribulien$ or lo ~al~e e~pend/ture$ on ~half of your candidacy. <br /> I <br /> COMMITTEE NAME I.D. NUMBER 6, Primarily Formed Committee z;$tn~,,,es ofo#/ce~o/#erF$2 or canc/idal~y'$) <br /> for ~hich this com~i#ee i$ <br /> <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> NAME OF TREASURER CONTROLLED COMMITTEE? [] OPPOSE <br /> [] YES [] NO <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) [] SUPPORT <br /> [] OPPOSE <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> [] OPPOSE <br /> <br /> Attach continuation sheets if necessary <br />7. Verification <br /> <br /> I have used all reasonable diligence in preparing and reviewing this statement and to th,,~tbest of my knowledge the information contained herein and in the attached schedules <br /> ,, ,rue ,~ co~,,e,e., ce~,~ ~er ,en.,,~ o, ,er,~ u~er ,~e ,.ws o, ,~e s,a,e o,~,~..~.e ,o~e~o,n~ ,s ,rue .n~ correc,. <br /> <br /> DATE SIGNATURE OF C RESPONSIBLE FICER OF SPONSOR <br /> Executed on DATE EHOLDER. CANDIDATE, STATE MEASURE PROPONE <br /> <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. STATE MEASURE PROPONENT <br /> <br /> FPPC Form 460 (8/99) <br /> For Technical Assistance: 916/322-5660 <br /> State of California <br /> <br /> <br />