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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 /> p.ge ~-.-~ 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 HELD (iNCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION [] SUPPORT <br /> [] OPPOSE <br /> <br /> RESIDENTIAL/BUSINESS ADDRESS {NO, AND STREET) CITY STA~E ZIP <br /> Identify the controlling officeholder, candidate, or state measure proponent, if any. <br /> <br /> NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT <br /> <br /> Related Committees Not included in this Statement: List any committees <br /> not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY <br /> contributions or make expenditures on behalf of your candidacy. <br /> <br /> '~(~'/~ ~['~ /~7/" 7. Primarily Formed Committee List names Of officeholder(s) or candidate(s) for <br /> N OFTRE SURER CONTROLLEDCOM ITTEE. which this committee is primarily formed. <br /> <br /> COMMI~EE ADDRESS. STREEt' ADDRESS (NO P.O. BOX, NAME OF OFFICEHOLDER OR CANDIDATE i~ ~.~<~E ~-~ ~ G.~//~; ~.~ ~]" SUPPORT <br /> <br /> CCQ MI~EE N~E LD. NUMBER <br /> <br /> FPPC Form 460 (June/01) <br /> FPPC Toll-Free Helpline: 866/ASK~FPPC <br /> State of California <br /> <br /> <br />