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Recipient Committee <br /> Campaign Statement <br /> (Govemment Code Sec[ions 84200-64216.5) <br /> SEEINSTRUCTIONSON REVERSE <br /> Type or print in ink. <br /> Statement covers period <br /> from % G <br /> 1A�����A I I�(l /� I <br /> 1. T)/pB Of R@CIPI211t COI711111�Y2e: n�I Committees-Complete Parts t,z,s,and 7 <br /> �] Offceholder, Candidate � Primarily Formed Candidate/ <br /> Controlled Committee Officeholder Committee <br /> (Also Complele PaR 4.J (Also Complete Part 6.J <br /> ❑ Ballot Measure Committee ❑ General Purpose Committee <br /> Q Primarily Formed Q Sponsored <br /> Q Controlled � Broad Based <br /> Q Sponsored <br /> (Also Complete Part 5.J <br /> I.D.NUMBER <br /> 3. Committee Information <br /> v <br /> C�vnVY( i �f�P �D �l 'PG7 BGLYOG-i'G. P'P/`G.P <br /> STREETADORESS(NO P.O.BOX) <br /> ��� <br /> <br /> <br /> <br /> <br /> <br /> STATE ZIP CODE <br /> � ; C�9- 9yo � <br /> <br /> <br /> <br /> AREA CODE/PHONE <br /> Date of election if applicable: <br /> (Monih,Day,Vear) <br /> Date Stamp <br /> JUL 3 i �'�01 <br /> 2. Type of Statement: <br /> ❑ Pre-election Statement <br /> �Semi-annual Statement <br /> ❑ Termination Statement <br /> ❑ Amendment (Explain below) <br /> Page� o(� <br /> For OKcial Use Only <br /> ❑ Quarterly Statement <br /> ❑ Special Odd-Year Report <br /> ❑ Supplemental Pre-election <br /> Statement-Attach Form 495 <br /> Treasurer(s) <br /> NAMEOFTRE)ASUftERn <br /> RI Cf2G�x� l/iJe? ( ST� �T er <br /> MAILING ADDRESS,-, <br /> <br /> CITV 1 STATE ZIP <br /> f��PdLu?C o r��, /y� ��i ��{C <br /> NAME OF ASSISTANT TREASURER,IF ANY <br /> 17� ,se�l� Z ��e,���/� <br /> MAILING AD�RESS <br /> . ��, <br /> CITY STATE ZIP <br /> ����oo,� c�,�, . �� ��� <br /> � <br /> FPPC Form 460(BI99) <br /> For Technical Assistance: 9161322-5660 <br /> State ot Calitornia <br /> Y <br />