Steinfeld 01-01-1995 thru 12-31-1995 470

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Officeholder and Candidate Type or print in ink. SHORT FORM Campaign Statement -- Short Form DateStamD (Government Code Section 84206) For use by officeholders and candidates who do not have a controlled committee and who do not anticipate receiving $1,000 or more in contributions and do not anticipate spending $1,000 or more during the calendar year. Officeholders whose salary is less than $100 per month and judges who have a controlled ~N 3 committee may use this form under certain circumstances. See the Information Manual on Campaiqn Disclosure Provisions of the Political Reform Act for Elected Officeholders, Candidates, and Their Controlled Committees for further information. I Statement Covers Calendar Year 19 ~ . I II Officeholder or Candidate Information , III Information on Office SOu~lht or Held NAME OF OFFICE HOLDER OR CANDIDATE OFFICE SOUGHT OR HELD RESIDENTIAL OR BUSINESS ADDRESS (NO. AND STREET) JuRI~'DICTION (LOCATION) - I DISTRICT NUMBER CITY STATE ZIP CODE DATE OF ELECTION (M~dTH, DAY, YEAR) (IF APPLICABLE) AREACODEIDAYTIME PHONE NUMBER IV Committee Information List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME AND I,D. NUMBER COMMITTEE ADDRESS NAME OF TREASUI~ Verification I declare under penalty of perjury that to the best of my knowledge, I anticipate that I will receive less than $1,000 and that I will spend less tkan $1,000 during the calendar year and that I have used all reasonable d,'ligence in preparing thi~ ~tatement I r_edify under ?enalty ~f ~nerj~jry ,dnder the laws of the State of California that the foregping is true and correct. DATt CITY AND STATE foe ~N[OaMA~ON a[QumEo To aE PROVmEO ~O YOU PURSUAN1 TO THE INFORMAtI~ P~ICES A~ Of 1977, SEE ~NFOaMA1~ON MANUAL ON ~MPAIGN DISCLOSU~ ~OV~I~S m THE ~n~t REFORM AO. State ~ California Fair Pol~kal Pra~kes Commission