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.'z" COVER PAGE 1 <br />~:. ~ GENEP~L pu RPOSE RECIPIENT COMMITTEE (INCLU DING "POLITICAL COMMITTEES," <br />~:~'~=~J "BROAD BASED POLITICAL COMMITTEES," AND POLITICAL PARTIES) PAGE <br />~ (Government Code Sections 84200-84216.5) <br />FORM 420 (Type or Print in Ink) <br /> 1990 Statement covets period 1 - 1-31 througl~-30-91 <br /> <br /> CHECi( ONE OE THE FOLLOWING BOXES TO INDICATE THE TYPE OF STATEMENT BEING FILED: <br /> [] PRE-ELECTION STATEMENT [] SUPPLEMENTAL PRE-ELECTION STATEMENT <br /> hlin aSupptementalPre-Elect~on Statement, <br /> [] SEMI-ANNUAL STATEMENT mus~ complete Form 495 andat'cach <br /> [] TERMINATION STATEMENT szatement ) <br /> At'tacha Form 41S to this Form 420 [] SPECIAL ODD-YEAR CAMPAIGN REPORT <br /> <br /> IMPORTANT <br /> BEFORE COMPLETING FORM 420, REFER TO THE INFORMATION SHEET AT THE FRONT OF THE FORM TO DETERMINE <br /> WHICH COVER SHEET AND WHICH SCHEDULES ARE APPLICABLE TO YOUR COMMITTEE. <br /> SECTION A: COMMITI'EE WHICH MAKES CONTRIBUTIONS TO CANDIDATES AND TO OTHER COMMITi'EES WHICH <br /> CONTRIBUTE TO CANDIOATES (CANDIDATE ACCOUNT), OR SINGLE COMMITTEE WHICH HAS A "CANDIDATE ACCOUNT" <br /> AND A "NON-CANDIDATE ACCOUNT' <br /> NAME OF COMMITTEE: LO. NUMBER <br /> <br /> NAME OF TREASURER: <br /> <br /> IS THIS A SPONSORED COMMITTEE7 (See definition on reverse) IS THIS A BROAD BASED POLITICAL COMMITTEE7 (See definition on <br /> [] YES [] NO I-~ YES L-] NO <br /> <br /> SECTION B: COMMi I I ~'£ WHICH- DOLES NOT MAKE CONTRIBUTIONS TO CANDIDATES OR TO OTHER COMMITTEES THAT <br /> CONTRIBUTE TO CANDIDATES (NON-CANDIDATE ACCOUNT) <br /> NAME OF COMMI'iq'EE; I LO. NUMBER <br /> Tnvo:lvememt Makes Po]_i~:iea]- A¢'cion Count [ 830435 <br /> <br /> F~edwood City CA 940~3 ( <br /> NAME OF TREASURER: <br /> Lawrence K. Bue]~rnasl:e~ <br /> <br /> Redwood Cil:y CA 94063 <br /> IS THIS A SPONSORED COMMITTEE? (See definition on ~everse) <br /> <br /> [] YES [] NO <br /> <br /> VERIFICATION <br /> <br /> [ HAVE USED ALL IGENCE IN PREPARING THIS STATEMENT ~ HAVE REVIEWED THE STATEMENT AND TO THE BEST OF MY <br /> KNOWLEDGE THE INFORMATION IN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE <br /> PERJURY UNOER THE LAWS O~ THE STATE OF CALIFORNIA AT THE FOREGOING iS TRUE AND CORRECT <br /> <br /> EXECUTED ON AT BY <br /> <br /> FOR INFORMATION REC)UIRED TO 8E PROVIDED TO YOU PURSUANT TO THE INEORMA TION PRACTICES ACT OF ~ 977, SEE INFORMATtON MANUA <br /> <br /> <br />