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Type or print in ink. COVER PAGE -PART 2 <br />Recipient Committee <br />~ <br />Cam <br />ai <br />n Statement ~ ~ • 1 <br />p <br />g . <br />Cover Page -Part 2 <br /> 3 <br />2 <br /> Page <br />of <br />5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee <br />NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOTMEASURE <br />OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ^ SUPPORT <br /> ^ OPPOSE <br />RESIDENTIALBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZJP <br /> Identify the controlling officeholder, candidate, or state measure proponent, if any. <br /> NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT <br />Related Committees Notlncluded in this Statement: List any committees <br />not included in this statement that are controlled by you or are primarily /ormed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY <br />contributions or make expenditures on behalf of your candidacy. <br />COMMITTEE NAME I.D. NUMBER <br /> ~• Primarily Formed Candidate/Officeholder Committee List names of <br />NAME OF TREASURER CONTROLLED COMMITTEE? offlceholder(sJ or candidate(s) for which this committee is primarily /ormed. <br />^ YES ^ NO <br />COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />COMMITTEE NAME I.D. NUMBER <br />NAME OF TREASURER CONTROLLED COMMITTEE? <br />^ YES ^ NO <br />COMMITTEE ADDRESS STREETADDRESS (NOP.O.BOX) <br />NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br />^ SUPPORT <br /> ^ OPPOSE <br />NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br />^ SUPPORT <br /> ^ OPPOSE <br />NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT <br /> ^ OPPOSE <br />NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT <br /> ^ OPPOSE <br />CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary <br />FPPC Form 460 (January/OS) <br />FPPC Toll-Free HeIpllne: 866/ASK-FPPC (866/275-3772) <br />State of Callfornla <br />