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Type or print in ink. COVER PAGE -PART <br /> Recipient Committee CALIFORNIA <br /> Campaign Statement FORM 460 <br /> Cover Page — Part 2 <br /> Page 2 of 3 <br /> 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee <br /> NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE <br /> OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT <br /> ❑ OPPOSE <br /> RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP <br /> Identify the controlling officeholder, candidate, or state measure proponent, if any. <br /> NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT <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 /> COMMITTEE NAME I.D. NUMBER <br /> NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for <br /> which this committee is primarily formed. <br /> ❑ YES ❑ NO <br /> COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT <br /> ❑ OPPOSE <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> ❑ SUPPORT <br /> ❑ OPPOSE <br /> COMMITTEE NAME I.D. NUMBER <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT <br /> ❑ OPPOSE <br /> NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> ❑ YES ❑ NO ❑SUPPORT <br /> ❑ OPPOSE <br /> COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) <br /> CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary <br /> FPPC Form 460 (June /01) <br /> FPPC Toll -Free Helpline: 866/ASK -FPPC <br /> State of California <br />