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'AMENDMENT TO CAMPAIGN DISCLOSURE STATEMENT This form must be used to amend statements filed pursuant to Government Ul~l ~ I 9 ~J3J0 Code Sections 84200-84217, and must be filed with all filing officers who ~ received the statement being amended. NOTE: This form ~s not used to amend a Statement of Organization (Form 410). To amend a Statement of ' ~!~"~r'/0.r R£DW0~JD CiTY Organization, use the Form 410 .... .)~.~1 ~ ....... FORM 405 1989 (Type or Print in Ink) FOR OFFICIAL USE ONLY A I. The information required in Section I must correspond to the information provided on the campaign statement. NAME OF FILER: I.D. NO. (IF APPLICABLE): ADDRESS OF FILER: NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE NUMBER NAME OF TREASURER (IF APPLICABLE): pERMANENT ADDRESS OF TREASURE R (IF APPLICABLE): NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE NUMBER II. The following information amends campaign disclosure statement, Form No. ~, Executed on I~,~- ~1~ for the period ~-~' ~1~1~ through ~r~-~, ~~llJl~ (MO.. DAY, YR.I Ill. The amended information affects items on the: [] Front Page [] Allocation Page ~i~Summary I'-~Scheduie(s) IV. Describe the changes below. Include in detail all information you wish to become a part of your official campaign statement. Also attach a new front page, summary or appropriate schedule if needed for clarification. Include additional information on reverse side or on appropriately labeled continuation sheets. (Number of pages a~tached ) VERIFICATION I HAVE USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT. I HAVE REVIEWED THE STATEMENT AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION CONTAINED HEREIN AND iN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALtEOBNI~ Ti~AT THE ,FOREG'~iNG~IS,TRUE AND CORRECT A CANDIDATE, OFFICEHOLDER OR STATE MEASURE PROPONENT WHO CONTROLS A COMMITTEE MUST ALSO VERIFY THE CAMPAIGN ETATEMENT. I HAVE USED ALL REASONABLE DILIGENCE, AND TO THE BEST OF MY KNOWLEDGE, THE TREASURER HAS USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT. I HAVE REVIEWED THE STATEMENT AND TO THE BEST OF MY KNOWLEDGE THE -- INFORMATION CONTAINED HEREIN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE TRUE AND -- CORRECT. ~ ~ ~ · O EXECUTED ON AT BY E EXECUTED ON AT BY. F EXECUTED ON AT BY.