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Recipient Committee <br />Campaign Statement <br />Cover Page — Part 2 <br />5. Officeholder or Candidate Controlled Committee <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) <br />RESIDENTIALIBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP <br />Related Committees Not Included in this Statement: List any committees <br />not included In this statement that are controlled by you or are primarily formed to receive <br />contributions or make expenditures on behalf of your candidacy. <br />LD. Nu mBER <br />NAME OF TREASURER [COhNTROLLED COMMITTEE? YES ❑ NO <br />COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />COMMITTEE NAME I.D. NUMBER <br />NAME OF TREASURER CONTROLLED COMMITTEE? <br />❑ YES ❑ NO <br />cUMMI I 1 EE ADDRESS STREETADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREACODE/PHONE <br />COVER PAGE - PART 2 <br />Page 2 of 14 <br />6. Primarily Formed Ballot Measure Committee <br />NAME OF BALLOT MEASURE <br />BALLOT NO. OR LETTER JURISDICTION <br />❑ SUPPORT <br />ElOPPOSE <br />Identify the controlling officeholder, candidate, or state measure proponent, if any. <br />NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT <br />OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY <br />7. Primarily Formed Candidate/Officeholder Committee List names of <br />a ficeholder(s) or candidato(s) for which this commltreo Is primarily formed. <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />Attach continuation sheets if necessary <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />