Laserfiche WebLink
Recipient Committee <br /> Campaign Statement <br /> Cover Page— Part 2 <br /> 4. Officeholder or Candidate Controlled Committee <br /> IF <br /> Type or print in ink. <br /> STATE ZIP <br /> Related Committees Not Included in this Statement: ustanycommterees <br /> not Jnduded in thia wnsolidafed s6tement that are confrolled 6y you or which are primanly <br /> /onned M receive conVibuNons or to make expendiWres on behal/o/your candldacy. <br /> COMMITfEE NMAE <br /> NAMEOFTREASURER <br /> cin <br /> I.D.NUMBER <br /> ❑YES ❑ NO <br /> STREETADDRESS (NOP.O.BOX) <br /> STATE ZIPCODE AREACODE/PHONE <br /> 5. Ballot Measure Committee <br /> NAME OF 8ALL0T MEASl1RE <br /> 8ALL0T NO.OR LETTER <br /> COVER PAGE-PART 2 <br /> Page� of� <br /> �J SUPPOR7 <br /> � OPPOSE <br /> Identify the controling officeholder,wndidate,or sWte measure proponen4�f any. <br /> NAME OF OFFICEHOLDER,CANDIDATE OR,PROPONENT <br /> OFFICE SOUGHT OR HELD <br /> DISTRICT NO.IF ANY <br /> s. P�IlT18�I��/ FORII@f� CiOITl�llltt@B Lfstnameso/ofFlcaholder(sJorcandidate(s) <br /> /or which this commiHee(s primanly/ormed. <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT <br /> ❑OPPOSE <br /> NAME OF OFFICEHOLDER OR CANDIDATE <br /> NAME OF OFFICEHOLDER OR CANDIDATE <br /> Affach wn6nuaGon sheets i/necessary <br /> 7. Verification <br /> I.have used all reasonable diligence in preparing and reviewing this statement and to the besfof my kn <br /> is we and complete. I certify under penalry of perjury under the laws of the State of California that the <br /> Executed on 3� � � By � � <br /> DATE SIG <br /> 7/�/�� � BY , <br /> Euecuted on � <br /> �ATE SIGNATURE OF GONTROLLING OfFICEHOLDER,l <br /> Execuled <br /> OATE <br /> Executed on <br /> �ATE <br /> By <br /> OFFICE SOUGHT OR HELD <br /> OFFICE SOUGHT OR HELD <br /> � SUPPORT <br /> ❑ OPPOSE <br /> � SUPPORT <br /> ❑ OPPOSE <br /> the informati�ontained herein and in the attached schedules <br /> � is truend correct. <br /> OFTREASURERORASSISiANTTREFSURER <br /> PROPONENT OR RESPONSIBLE OFFICER OF SPONSOft <br /> SIGNPTURE OF CONTROLLING OFFICEHOLDER,CPfIOIOATE,STATE MEASURE PROPONENT <br /> SIGNATl1RE OF CONTROLLING OFFICEHOLDER,CANDIDATE.STATE MEASURE PROPONENT <br /> FPPC Form 460(8199) <br /> For Technical Assistance: 916/322-5660 <br /> State o(Calitornia <br />