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i <br /> � Type or print In ink. COVERPAGE-PART2 <br /> Recipient Committee � . , <br /> Campaign Statement � . _ ' • 1 <br /> Cover Page—Part 2 <br /> . Page� of..�___ <br /> 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee <br /> NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE <br /> �lM-ba/'i;u l�l�-i"L�- <br /> OFFICE SOUGHT OR HELO(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION � SUPPORT <br /> ��'6L kJOD� Ct� l�7% �I �C'4,�T'1-P�1 I ❑ OPPOSE <br /> RESIDENTIAL/BUSINESS ADD SS (NO. D STREET) CITV STA7E ZIP <br /> <br /> ' �� a �� �' NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT <br /> Related Committees Not Included in this Statement: �ts�anycomminees <br /> not lnNuded 7n fh/s stafemenf that are confrolled by you or are pAmartly/ormed fo iecelve OFFICE SOUGHT OR HELO DISTRICT NO. IF ANV <br /> conhibutions or make arpendltures on behal/o/your cand7dacy. <br /> COMMITTEENAME I.D. Nl1MBER <br /> NAMEOFTREASURER COMROLLEDCOMMITTEE? �• PrimarilyFormedCommittee Ustnameso/o/l(ceholde/(s)orcandidafe(s)/oi <br /> whlch fhis commitfee is primarily/o�med. <br /> ❑ YES � NO <br /> COMMITTEEAD�RESS STREET ADDRESS (NO PO.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELO � SUPPORT <br /> ❑ OPPOSE <br /> CIN $7ATE ZIP COOE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> � SUPPORT <br /> ❑ OPPOSE <br /> COMMITTEENAME 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 /> COMMITTEEADDRESS STREETADDRESS (NOP.O.BO%) <br /> CITY STATE ZIP CODE AREA COOE/PHONE Attach continuation sheets it necessary <br /> FPPC Form dfi0(June/Ot) <br /> FPPC Toll-Free Help�ina:B6WASK-FPPC <br /> Slala ol Califomia <br />