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COVERPAGE <br /> Recipient Committee Type or print in ink. Date Stamp � . <br /> Campaign Statement �� � � • � <br /> Cover Page � r � C �� � • <br /> (Govemment Code Sections 8420484276.5) L� 4 �� <br /> Statement covers period Date ot election if applicab . I page� of �� <br /> (MOnth, Day,Year) SEP 2 5 2003 <br /> f f Om � � For Offcial Uu Only <br /> SEE INSTRUCTIONS ON REVERSE thfOU h �C �✓ ' O C;i�; �. `..�� ,-.iOD CITY <br /> 9 ��y�����_��ah <br /> I 1. Type of Recipient Committee: an commmees-comPi�e r.��,z,a,a�a a. 2. Type of Statement: <br /> ,�Officeholder,Candidate Controlled Committee ❑ Ballot Measure Committee j[�]'Preelection Statement � Quarterly Statement <br /> Q State Cantlidate Election Committee Q Primarily Formed ❑ Semi-annual Statement � Special Otld-Year Report <br /> Q Recall Q Controlled � Termination Statemerrt � Supplemental Preelection <br /> (AlwCwnplefePartS) � Sponsored � Amendment(Explain below) Statement-Attach Form 495 <br /> (NwCOmpefePart6) <br /> ❑ GeneralPUrposeCommittee <br /> Q Sponsored � Primanly Formed Candidate/ <br /> Q SmallCOntributorCommittee OffceholderCommittee <br /> QPoliticalParty/CentralCommittee (amCOmplNePaR]) <br /> 3. Committee Information �0. NUMBER a Treasurer(s) <br /> 5 09 <br /> COMMITTEE NAME(OR CANDIOATE'S NAME IF NO COMMITTEE) N�F TREASUREi' \ � ^ <br /> �(1�., q(1�� ,. . . .� .� L . U� c��lo <br /> C�0 4'V�W�I ��� I ✓ ��I� L� I✓U-'i'��l^-'✓���-� �� �-�L� MAILING ADORESS <br /> " <br /> STREET ADDRESS(NO P.O. BOX) CIT STATE ZIP CO�E AREA CODE/PHONE <br /> , � ����,J�UC�_ �.; �� C{4 �`IY �G� � %� <br /> CI V STATE ZIP yC�OOE AftEA CODE/PHONE NAME OF ASSISTANT TREASURER, I ANV <br /> M�NG�E��DIFFEREN NO.AN� STREETOR�.O BOXI �� MAILINGADDRESS <br /> p�Ty STATE ZIP CODE AREA CODE/PHONE qTV STATE ZIP CO�E AREA CODE/PHONE <br /> OPTIONAL: FAX/E-MAIL AD�RESS <br /> � <br /> 4. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and lo the best of my knowledge the intormation contained herein and in the attached schedules is true and complete. I <br /> certify under penalty of peryury under lhe laws of the State of Califomia that the foregoin is true and ect. <br /> Ezecuted on��� BY . <br /> Sig re eewr rASSis�aMTieasumr <br /> E%ecutedon , �s � BY ignatveMCOnVd4rgOlfi�lid r,CaMida�e.Sta�eMeasure eMaResponsible�cero(Sponsor <br /> Executedon � BY SigriawreMContrdlvg0lficelmlGer,Car�tlitlate,StateM�.sureProponeM <br /> Exewtedon BY yg��a��yqlirg0lfim�dtler,Cai6aate,5leteMeasureROporient FPPCFOmi460�JUnN07) <br /> � FPPC Toll-Free Helpline:866/ASK-FPPC <br /> Sple of Califomia <br />