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.[ i 1/1/86 2/22/86. RICHARD S. CLAIRE 802499 (AMD) IV ALLOCATION OF CONTRIBUTIONS AND EXPENDITURES MADE TO OR ON BEHALF OF OTHER CANDIDATES. OFFICEHOLDERS AND MEASURES (Allocate expenditures from Schedules Eo EE & F made to or on behalf of another candidate, officeholder or measure. Amounts may be rounded off to whole dollars.) Attach additional information on appropriately/abe/ed continuation sheets. 'Check box if "independent expenditure." (See instructions below.) INSTRUCTIONS FOR PREPARING cOVER PAGE CONSOLIDATED CAMPAIGN STATEMENT FORM 490 PERIOD COVERED BY STATEMENT: The period covered begins the day after the closing date of the last campaign statement filed. If no previous statement has been filed, the period begins on January 1 of the current calendar year. (See exceptions to calendar year cumulation and information concerning the closing date in the "Information Manual on Campaign Disclosure Provisions of the Political Reform Act.") DATE OF ELECTION: If this statement is filed in connection with an election held on a date other than June. 3 or November 4, enter the date of the election. PART I: Provide the candidate's or officeholder's full name, residential address, business address and telephone numbers, and the office sought or held. PART Il: Identify the controlled committee(s) included in the consolidated report and the treasurer(s) of the committee(s). Use the full name(s) of the committee(s) as they appear on the Statement(s) of Organization filed with the Secretary of State. A parma ne nt business or residential address and telephone number(s) must be provided for the treasurer(s). The identification number(s) must be included. (If not yet received from the Secretary of State's office, that fact must be noted.) NOTE: You must provide a telephone number where the treasurer(s) can be reached during business hours. PART II1: The candidate or officeholder must list all additional committees not included in this consolidated report which are controlled by the candidate or officeholder or are primarily formed to receive contributions or make expenditures on the ca nd/date's behalf and indicate whether or not they are controlled committees. VERIFICATION: The statement must be signed by each committee treasurer included in the consolidated report and by the candidate or officeholder who controls the committee. The treasurer and candidate or officeholder must review the information contained i n the statement before signing the verification. ALLOCATION OF CONTRIBUTIONS AND EXPENDITURES MADE TO OR ON BEHALF OF OTHER CANDIDATES. OFFICEHOLDERS AND MEASURES: List all contributions (including loans) and independent expenditures itemized on Schedules E, EE and F to support or oppose officeholders, candidates, and ballot measures (other than those controlling this committee or for which this committee is primarily formed). Also list in-kind contributions and independent expenditures which involve goods o[services provided to or on behalf of a candidate or committee when a payment is not mede (e.g., employee services, in-house printing, etc.) A description of the goods or services must also be provided. Indicste the date of the expenditure; if the expenditure is an independent expenditure (an eXpenditure not made at the behest of the candidate or a committee primarily formed to support or oppose the candidate or measure on whose behalf it is made) check the box. Also indicate the office sought or held (or the messure's number or letter and the jurisdiction); the amount of the expenditure; and the cumulative amount to date. The "Cumulative to Date" column should include the total of expenditures for or against each candidate or measure since January 1 of the current calendar year. iSee "Information Manual on Campaign Disclosure Provisions of the Political Reform Act" for