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<br />Type or print in ink. <br /> <br />Recipient Committee <br />Campaign Statement <br />Cover Page - Part 2 <br /> <br />4. Officeholder or Candidate Controlled Committee <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />1ÀÁt..Y::::; I-k~g~ <br /> <br /> <br />t.OMMiTTEE NAME <br /> <br />ID NUMBER <br /> <br />NAME OF TREASURER <br /> <br />CONTROLLED COMMITTEE? <br /> <br />0 YES <br /> <br />0 NO <br /> <br />COMMITTEE ADDRESS <br /> <br />STREET ADDRESS (NO PO. BOX) <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP CODE <br /> <br />AREA CODE/PHONE <br /> <br />COVER PAGE - PART 2 <br /> <br /> <br />5. Ballot 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 />Idenlify Ihe conlroling officeholder,candidate, or stale measure proponenl, if any. <br />NAME OF OFFICEHOLDER. CANDIDATE OR, PROPONENT <br /> <br />OFFICE SOUGHT OR HELD <br /> <br />DISTRICT NO. IF ANY <br /> <br />6. Primarily Formed Committee lislnamesofofficeholder(s)orcandidate(s) <br />for which Ihis committee is primarily fanned. <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 />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 conlinualian sheels if necessary <br /> <br /> <br />Executed on <br /> <br />By <br /> <br />Executed on <br /> <br />By <br /> <br />SIGNATURE OF CONTROI"NG OFCICEHOIOFR CANDTDATE, STATE MEASURE PHOPONENT <br /> <br />OATE <br /> <br />Executed on <br /> <br />By <br /> <br />SIGNATURE OF CONTROI"NG OFFICEHOLOER CANDIDATE, STATE MEASU'" PROPONENT <br /> <br />OATE <br /> <br />ESPONSTBIE OFfiCER OF SPONSOR <br /> <br />FPPC Form 460 (8/99) <br />For Technicat Assistance, 916/322-5660 <br />State of California <br />