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<br />, ' <br /> <br />Type or print in ink. <br /> <br />COVER PAGE -¡¡ART 2 <br /> <br /> <br />Recipient Committee <br />Campaign Statement <br />Cover Page - Part 2 <br /> <br />4. Officeholder or Candidate Contro/led Committee <br /> <br />COMMITTEE NAME <br /> <br />I.D. NUMBER <br /> <br />NAME Of TREASURER <br /> <br />CONTROlLED COMMITIEE? <br /> <br />DYES <br /> <br />ONO <br /> <br />COMMITTEE ADDRESS <br /> <br />STREET ADDRESS (NO P.O. BOX) <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP CODE <br /> <br />AREACODEIPHONE <br /> <br /> <br />5. Ba/lot Measure Committee <br /> <br />NAME OF BALLOT MEASURE <br /> <br />BALLOT NO. OR LETTER <br /> <br />JURISDICTION <br /> <br />0 SUPPORT <br />0 OPPOSE <br /> <br />OFFICE SOUGHT OR HELD I DISTRICT NO. IF Am <br /> <br /> <br />6. Primarily Formed Committee Llsrn.mes ofofflceholder(s)orc.ndld./.(s) <br />forwhl<:hlhtø~ommltt.. Is prlm.rtlyformed. <br />NAME OF OFFICEHOLDER OR CANDIDATE <br /> <br />OFFICE SOUGHT OR HELD <br /> <br />0 SUPPORT <br />0 OPPOSE <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE <br /> <br />OFFICE SOUGHT OR HELD <br /> <br />0 SUPPORT <br />0 OPPOSE <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE <br /> <br />OFFICE SOUGHT OR HELD <br /> <br />0 SUPPORT <br />0 OPPOSE <br /> <br />7. Verification <br /> <br />Attach conYnuaYon sheets ifnecessa¡y <br /> <br /> <br />Executed on <br /> <br />By <br /> <br />SIGNATUAE OF CONTAOLUNG OFFICEHOLOEA, CANDJOATE, STATE MEASURE PAOPONENT <br /> <br />OATE <br /> <br />Executed on <br /> <br />By <br /> <br />SIGNATUAE OFCONTROLUNG OFFICEHOLDEA, CANDIOATE, STATE MEASUAE PAOPONENT <br /> <br />OATE <br /> <br />FPPC Form 460 (8199) <br />For Technical Assistance: 916/3~-5660 <br />State of California <br />