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Type or print in ink. COVER PAGE-PART 2 <br /> Recipient Committee <br /> Campaign Statement � �� � � � � <br /> Cover Page — Part 2 <br /> 4. Officeholder or Candidate Controlled Committee <br /> NAME OF OFFICEHOLDER OR CANDI�ATE <br /> ��.,-h�-� P,��� <br /> OFFICE SOUGHT Oft HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) <br /> (NO. <br /> Related Committees Not Included in this Statement: �ie�anycommi�rees <br /> nof included in this consolidated statement fhat are cantrolled 6y you o�which are pnmanly <br /> /ormed fo receive contributions or to make expendifures on behal/o/your wndidacy. <br /> I.D.NUMBER <br /> NAME OF <br /> ❑ VES ❑ NO <br /> COMMITfEEADDRESS STREETADDRESS <br /> CITV STATE ZIPCODE AREACODE/PHONE <br /> 7. Verification <br /> 5. Ballot Measure Committee <br /> NAME OF BALLOT MEASURE <br /> BALLOT NO.OR LETTER I �URISDICTION <br /> Page � ot� <br /> U SUPPORT <br /> � OPPOSE <br /> Identify the controling o(ficeholder,candidate,or state measure p�opanent,it any. <br /> NAME OF OFFICEHOLDER,CANDIDATE OR,PROPONENT <br /> OFFICE SOUGHT OR HELD <br /> OISTRICT NO.IF ANV <br /> 6. Pf11178�1�)/ FOflll@C� C.OI111711tt@@ ListnamesaloRCehalder/s/orcandidate(s) <br /> !or which this commiHee is primarily/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 /> OFFICE SOUGHT OR HELD <br /> OFFICE SOUGHT OR HELD <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 informati�ontained herein and in the attached schedules <br /> is true and complete. I certify under penalty of perjury under the laws of the State o�California thal lhe_foregoing is truend correct. <br /> Ezecuted on �/�1�/�/ <br /> T� onrE <br /> Executed on �/�� ' v ' <br /> onrT— <br /> Executed on <br /> onrE <br /> Executed <br /> OhTE <br /> By <br /> By <br /> By <br /> By <br /> TREASURER <br /> CANDI OPTE.SiATE MEPSURE PROPONENi OR RESPONSIBLE OFFICER OF SPONSOR <br /> SIGNATURE OF GOMftOLLING OFFlCEHO�DER,ChN�IDATE STATE MEASURE PROPONENT <br /> SIGNATURE OF CONTROLLING OFFICEHOL�ER,GANDIDATE.STATE MERSORE PROPONENT <br /> FPPC Form 460(S199) <br /> For Technical Assistance: 9161322-5660 <br /> Slate of California <br />