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2/23/86 I 3/21/86 <br />RICHARD S, CLAIRE 802499 (AMD) <br />IV ALLOCATION OF CONTRIBUTIONS AND EXPENDITURES MADE TO OR ON BEHALF OF OTHER CANDIDATES, <br />OFFICEHOLDERS AND MEASURES (Allocate expenditures from Schedules E, EE & F made to or on behalf of <br />another candidate, officeholder or measure. Amounts may be rounded off to whole dollars.) <br /> <br />Attach additional information on appropriately labeled continuer/on sheets. <br />*Check box if "independent expenditure." (See instructions below.) <br /> <br /> INSTRUCTION8 FOR PREPARING COVER PAGE <br /> CONSOLIDATED CAMPAIGN STATEMENT <br /> FORM 490 <br />PERIOD COVERED BY STATEMENT: <br />The period covered begins the day after the closing date of the last campaign statement filed. If no previous statement has been <br />filed, the period begins on January 1 of the current calendar year. (See exceptions to calendar year cumulation a nd information <br />concerning the closing date in the "Information Manual on Campaign Disclosure Provisions of the Political Reform Act."} <br />DATE OF ELECTION: <br />If this statement is filed in connection with an election held on s date other than June3 or November 4, enter the date of the <br />election. <br />PART I: <br />Provide the candidate's or officeholder's full name, residential address, business address and telephone numbers, and the <br />office sought or held. <br />PART I1: <br />Identify the controlled committee(s) included in the consolidated report and the treasurer(s) of the committee(s). Use the full <br />na me(s) of the committee(s) as they appear on the Statement(s) of Organization filed with the Secretary of State. A perm anent <br />business or residential address and telephone number(s) must be provided for the treasurer(s). The identification number(s) <br />must be included. (if not yet received from the Secretary of State's office, that fact must be noted.) NOTE: You must provide a <br />telephone number where the treasurer(s) can be reached during business hours. <br />PART Ill: <br />The candidate or officeholder must list all additional committees not included in this consolidated report which are controlled <br />by the candidate or officeholder or ara primarily formed to receive contributions or make expenditures on the ca ndidate's behalf <br />and indicate whether or not they are controlled committees. <br />VERIFICATION: <br />The statement must be signed by each committee treasurer included in the consolidated reDort and by the candidate or <br />officeholder who controls the committee. The treasurer and candidate or officeholder must review the information contained i n <br />the statement before signing the verification. <br />ALLOCATION OF CONTRIBUTIONS AND EXPENDITURES MADE TO OR ON BEHALF OF OTHER CANDIDATES, <br />OFFICEHOLDERS AND MEASURES: <br />List all contributions (including loans) and independent expenditures itemized on Schedules E, EE and F to support or oppose <br />officeholders, candidates, and ballot measures (other than those controlling this committee or for which this committee is <br />primarily formed). Also list in-kind contributions and independent expenditures which involve goods or services provided to or <br />on behalf of a candidate or committee when a payment is not made (e.g., employee services, in-house printing, etc.) A <br />description of the goods or services must also be provided. Indicate the date of the expenditure; if the expenditure is an <br />independent expenditure (a n expenditure not made at the behest of the ca ndidate or a committee primarily formed to support or <br />oppose the candidate or measure on whose behalf it is made) check the box. Also indicate the office sought or held (or the <br />measure's number or letter and the jurisdiction); the amount of the expenditure; and the cumulative amount to date. The <br />"Cumulative to Date" column should include the total of expenditures for or against each candidate or measure since Jan usry 1 <br />of the current calendar year. (See "Information Manual on Campaign Disclosure Provisions of the Political Reform Act" for <br />discussion and examples of "cumulative amount.") <br /> <br /> <br />