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CANDIDATE AND OFFICEHOLDER CAMPAIGN STATEMENT .. LONG FORM <br /> <br /> (Government Code Sections 84200-842 <br /> (Type or Print ~n inK) , -- <br /> Statement covers per,od ~ through ~,~ <br /> CH~K ONE OF THE FQ~OWING aOXES TO INOl~TE THE ~Pl OF STATEME~TaEING FIL~: <br /> ~-~L~ION STATEMENT ~ SUPPLEMENTAL PRE.ELECT ON <br /> FORM 490 ~ SEMkANNUALSTATEMENt STATEMENT {Ithi,ngaSuaalemen~al <br /> 1 ~8~ Pre-Ele~mn Statement. you must <br /> ~ TERMINATION STATEMENT ~ complete Form 495 and a~4ch K to <br /> A~ach a Form 4 t 5 tO this Form 4~ <br /> <br /> A <br /> ~NDIDAT~OFFICEHOLDER INCLUDED IN THIS CONSOUDATED REPORT <br /> <br />~.~ ~_~?~ ez~ ~A c~te ~ <br /> <br />Ill O~ER COMM~'~S: UST ANY O~ER COMMI~ES NOT IN~UDED tN ~IS CONSOUDA~D STA~ENT WHICH <br /> ARE CONTRO~ED BY YOU AND ANY CONNIVES PRIMARILY FORMED TO RECEIVE CONTRIBU~ON$ OR MAKE <br /> EXPENDITURES ON BEHA~ OF YOUR ~NOIDACY <br /> <br /> COMMITTEE NAME AND I.D. NUMBER COMMITTEE ADDRESS TREASURER COMMITTEE? <br /> <br /> ~ATE OR OF~N~EA: VE~H~ON <br /> I CERTIFY UNDER PE~A~ OF P{~URY UNOIR THE ~ Of THE STATE Of CL~ORN~ ~T~HE FOREG~ IS T~aO CORJEU. <br /> <br /> <br />