Laserfiche WebLink
Type or print in ink. COVERPAGE-PART2 <br /> Recipient Committee <br /> Campaign Statement ' �' � ' � � � <br /> Cover Page— Part 2 <br /> 5. Officeholder or Candidate Controlled Committee <br /> NAME OF OFFICEHOLDER OF CANDIDATE <br /> HELD <br /> HNUUISIHIGI NUMBEIiIF <br /> ;. /j,,,. ._,. ; 1 <br /> STAiE ZIP <br /> Related Committees Not Included in this Statement: us�anycommrnees <br /> not included in this statemenf that are controlled by you or are primarily formed to receive <br /> contributiona or make erpenditures on behal/ot your candidacy. <br /> NAME <br /> I.D. NUM6ER <br /> STREETADDRESS (NO P.O.BOX) <br /> ❑ VES ❑ NO <br /> qTV STA7E ZIP CODE AREA CODE/PHONE <br /> COMMITTEENAME <br /> NAME OF TREASURER <br /> I.D. NUMBER <br /> 6. Ballot Measure Committee <br /> NAMEOFBALLOTMEASURE <br /> BALLOTNO.ORLETTER IJURISDICTION <br /> Page a' of� <br /> ❑ SUPPORT <br /> ❑ OPPOSE <br /> Identify the controlling oHiceholder, candidate, or state measure proponent, if any. <br /> NAME OF OFFICEHOIDER,CANDIDATE,OR PROPONENT <br /> OFFICE SOUGHT OR <br /> DISTRICT NO. IF ANV <br /> 7. Primarily Formed Committee List names o/ofliceholder(s)or candldate(s)/or <br /> which this committee is primarily/ormed. <br /> NAME OF OFFICEHOLDEF OR CANnIDATF OFFICE SOUGHT OR HELD <br /> NAME OF OFFICEHOLDER OR CANDIDATE <br /> ❑ SUPPORT <br /> ❑ OPPOSE <br /> OFFICE SOUGHT OR HELD <br /> ❑ SUPPORT <br /> ❑ OPPOSE <br /> NAME OF OFFICEHOLDER OR CANDIDATE I�FFICE SOUGHT OR HELD <br /> CONTROLLED COMMIT7EE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> ❑ VES ❑ NO <br /> CI7Y STAiE ZIP CODE AREA CODFJPHONE <br /> Attach continuation sheets i/necessary <br /> ❑ SUPPORT <br /> ❑ OPPOSE <br /> ❑ SUPPORi <br /> ❑ OPPOSE <br /> FPPC Form 460(Jund01) <br /> FPPC Toll•Free Helpline:B66/ASK-FPPC <br /> State of Califomla <br />