Bailey 07-01-1993 thru 12-31-1993 Semi-Annual 490

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i Officeholder, Candidate, Tv. or print in ink. COVER PAGE- LONG FORM and Controlled Committee Statement covers period Date Stamp Campaign Statement -- Long Form ,,om~-'~'~ ~ [~ (Government Code Sections 84200-84216.5) i SEE INSTRUCTIONS ON REVERSE Cbeck one of tho following boxes to indicete the type of statement being filed: Deteofolectionifapplkelde:~ i RL~ I 2 I~?,!!~ of__ B {Month. Day. Yea) L_~,ji, ~ For Official Use Only Pre-election Statement Supplemental Pro-election Statement (Attach a completed Form 495 to this statement.) i Y 0~ F: Semi-annual Statement .............. ~-~:"; *:' [] Termination Statement (Attach e completed Form 415 to this statement.} I ' fficeholder. Candidat&, and Controlled Committee II Other CommitteesNot Included in this Statement: Included in this Statement coma/flees not included in thb como//datedstetement that are controlled by you and any CANrdnAT~ conlm/ttees of which you have knowledge that are primarily formed to receive contribut/om NAME OF OFFK:EHOLDE[R I I.D. NUMRER RESIDENTIAL oe BUSMESS ADDICTS (NO. AND STREET) NAME or TREASURER CONTROLLED COMMITTEEt COMMITTEE NAME .( I 1/~. N~~_~/y CITY STATE ZI~ CODE AREA COOF~OAYTIME COMMITTEE AM[HIEIS MO. AND STREET) ' OT~/:?? ' STATE ' ZIP CODE ~ CM)F.K)AYTIME ~ NAM~ or TREASURER CONTROLLED COMIdlTTEE~ · -~ NAMI~ OF TREASURER -- / ~ ' ~ -'- - ...... CMm~EE A~O~SS MO. ANDSTREL~ !~, ~ ADm~,s O~ TaEA~R )/,.~~ :_:, ~(liO, A~NI~i STRE Ltl~ aTY STATE ZII~ COD~ AREA CODE/OAYTIME FHON~ ZIP COOE AREA ~YI'IME ~ I have mad ell ree~o,ebl~ dililence in prepe~ing this statement. I have retiewed the st&tement and to the b~t of my knowledge the Information contained herein end in the attached ~hedul, is true and complete. I certify under penal~y ot pequry under the law~ of the $~te of ~lifornie that the foregoing is trut and correct. Executed on At ! DATE CITY AND STATE SIGNATURE Of TREASURER An officeholder or candidate who controls a committee must also verify the campaign statement. I have used iii 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.Executed onl certify~.~.~." DATEL ---~ --.. Lf~'under penalty~ of perjurYAt under, <~ ~-/)(' %/\ the~. laws of/_~..~ !~)the State ~/'~/'°f California~ that the foregoing is trUeBy en~d~corr,ect.?L'/'( '''' %i"~' ' / '~ -/../' 5-/,~(~ · ' ' % CITY AND STATE ~ , //4~IGNAT~JRE m Executed on At By ! DATE CITY AND STATE SIGNATURE Or CANOiDArE/Of:rlCEHOLDER ~ Executed on At By DATE CITY AND STATE S~GNAIURE Of CANDIDATUOfF~CEHOLDER FOR INFORMATION REqUiRED TO BE PROviDED TO YOU PURSUAN1 TO THE iNFORMATION PRACTICES ACT Of lg77, SEE INrpRMATIC)N MAI~¥AL QN CAMPAIGN DISCLOSURE PROVISIONS of THE POLiTiCAL REFORM ACI.