Buchan 07-01-1996 thru 12-30-1996 Semi-Annual 490

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Officeholder, Candidate, ?ype or print in ink. COVER PAGE- LONG FORM a ri d Co n t rD I led Co m m ittee Statemo.t covers period Date Sram p Campaign Statement.-- Long Form from (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE through I S-':~) --c~ ~ ~ ~ D ~ I ~ -- Check one of the following ~xes to i~icate the ty~ of ~tatement ~ing filed: Oate of ele~ion ~ applicab~: O Pre~le~ion Statement (Month, Day, Year) ~ 3 1 ~ Supplemental Pre-elation Statement (A~ach a completed Form 495 to this statement.) ~ S~cial Odd-Year Campaign Re~ ~ Semi-annual Statement ~ Termination Statement (A~ach i completed Form 415 to this statement.) :;' ~ 'f 0F ~ I' ~ff~ceholder. Candidate, and Controlled Committee Li~anyot~r Included in this Statement commi~ees not i~lu~d in this comolidated ~atement that are controlled by you a~ any NAME OF OFFICE HOLDER OR ~NDIDATE commi~ees of which you have knowle~e that are pHmari~ formed to receive contri~lom d~ ~J~ ~tomake ex~itureson~halfofyourca~a~. . C~M~EE NAME I I.D. NUMBER ~FICE SO~ ~ HELD (INCLUDE L~T~ AND DISTRIO NUMBER IF APPLI~BLE) I ~SIDE~IAL'~ BUMNESS ADD.SS (NO. AND ST~E~ NAME ~ TREASURER CONTROLLED COMM~EE? C~Y STATE ZIP C~E A~A C~AYTIME PH~E C~M~EE ADDRESS (NO. AND ST~) COMMI~EE NAME c~ STAT~ Z~e COO~ A~A COO~ME C~M~EE ADD. SS (NO. AND ST~ET) C~l STATE ZIP CODE l~l CODE~AYTIME ~t ~ME ~ T~ASURER CONTROLLED COMM~EE? NAME OF TRE~URER / C~M~EE ADD.SS IND. AND ~ANE~ ADD.SS ~ T~AIU~R IND. AND STREET) C~Y STATE ZIP CODE AREA CODE~AYTIME ~NE CffY STATE ZIP CODE A~A CODE~AYTIME A~ach a~ional inf~mation ~ approprlate~ la~led c~tlnuatlon III Verification , have used ell reasonable diligence in preparing this statement. I have reviewed the statement and roche best of my..ief~ed.g~he i~r~n ~.j~erein and in the attached schedules is true and complete. DATE CITY AN~STATE SIGNATURE OF TREASU~R An officeholder m ~ndid~te who controls · comm~ee must ~lso verify the c~mp~ign statement. I h~ve used ~11 re~son~ble diligence ~nd to the ~st o~ my knowledge the treasurer h~s used ~11 re~son~ble diligence in pre.ring this ~tement. I h~ve reviewed the statement ~nd to the ~ of my knowledge the information contained herein ~nd in ~he ~ched schedules is true ~nd complete. I Executed on E~ecuted on At By DATE CnY AND STATE SIGNATURE OF ~NDIOATE~FFICEH~DER Ex~cuted on. At , By ~ DATE CffY AND STATE ~IGNA1URE OF CANDIDATE/OFfICEHOLDER FO~ INflATION RE~I~ED TO tE PROVIDED TO you PURSUANT TO THE INFO~ATION P~ICES AO OF lg77. SEE INFORMATION ~AN~AL ON ~PAIGN DISCLOSURE PROVISIONS OF THE POLffI~C REFOR~ A~.