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Recipient Committee <br /> Campaign Statement <br /> Cover Page — Part 2 <br /> 4. Officeholder or Candidate Controlled Committee <br /> � <br /> AND <br /> L'°� <br /> DIS�T NUMBER IF ApPLICABLI <br /> ,� �tl.,Y�l � <br /> �) CITY STATE <br /> 'u 1�.,�,a i�..l., Cr� <br /> Type or print in ink. COVER PAGE-PART 2 <br /> . - � ' <br /> . - • <br /> Page� ofJL <br /> 5. Ballot Measure Committee <br /> - NAMEOFBALLOTMEASURE <br /> Related Committees Not Included in this Statement: 'ustanycommineee <br /> no[included in Mis conaolidated statement thaf arc controlled by you or which are pnmanly <br /> formed fo receive confnbufions arto make expenditures on belwl/a/}rourundldacy. <br /> NAMEOFTREASURER <br /> CITY <br /> 7. Verification <br /> I.D.NUMBER <br /> CONTROLLED COMMITTEE? <br /> ❑ VES ❑ NO <br /> STREET ADDRES$ (NO P.O.BOX) <br /> STATE ZIPCODE <br /> / <br /> BALLOT NO.ORLETTER <br /> U SUPPORT <br /> ❑ OPPOSE <br /> Identify the controling oNiceholder,candidate,or state measure proponen4�f any. <br /> NAME OF OFFICEHOLDER,CANDIDATE OR,PROPONENT <br /> OFFICE SOUGHT OR HELD <br /> DISTRICT NO.IF ANV <br /> 6. P1'11118f1��/ FO�fll@C� �'.Ofllfllltt@@ Lisfnameso/o�ceholder(sJorcand7date(sJ <br /> /or which fhis commiHeels pnmarlly/ormed. <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT <br /> ❑ OPPOSE <br /> NAME OF OFFICEHOLDEft OR CANDIDATE <br /> NAME OF OFFICEHOLDER OR CANDIDATE <br /> OFFICE SOUGHT OR HELD <br /> OFFICE SOUGHT OR HEL� <br /> ❑ SUPPORT <br /> ❑ OPPOSE <br /> ❑ SUPPORT <br /> ❑ OPPOSE <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informatio¢ontained herein and in the attached schedules <br /> is lrue and complete. I certify under penalty of perjury under the laws of lhe State of Califomia that the foregoing is truend correct. <br /> Executed on 1 0 v <br /> t <br /> Executed on �� O � <br /> � TE <br /> Executed on <br /> �ATE <br /> Executed�on <br /> DPTE <br /> CAN�IDATE. <br /> TREASURER <br /> PROPONENT OR RESPONSIBLE OFFlCER OF SPONSOR <br /> SIGNATURE OF GONTROLLING OFFlCEHOLDER,CANDIDATE STATE MENSURE PROPONENT <br /> SIGNATURE OF CONTROLLING OFFlCEHOLDER,CANDIDATE,STATE MEASURE PROPONENT <br /> FPPC Form 460(8/99) <br /> For Technical Assistance: 916/322-5660 <br /> Slale of California <br />