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<br />Type or print In Ink. <br /> <br />Officeholder, (and idate, <br />and Controlled Committee <br />Campaign Statement - Long Form <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />Check one of the following boxes to lnclkate the type of .tatement being filed: <br />Pre-election Statement <br />Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.) <br />Special Odd.Vear Camp.ign Report <br />Semi-ennual Statement <br />Termination St.tement (Attach a completed Form 415 to this statement.) <br />- .ICtt 0 erL an I ate. an on ro e ommlttee <br />Included in tnis Statement <br />NAME Of OFfICEHOLD£. OR CANDDA TE <br />j:)~fë ~@ . <br />OffICE SOUGHT OII..LD tlNCLUOI LOCATION AtD DlSTIIICT ~11f APPUCAIU) <br />~e..- ~'Ft <br />IISlDEN1'1AI. 011 ADDIIESS CNO. AND STilET) <br /> <br />.. <br />crrv STATE ZlPCODE AllACCJOUtAYT..E PHONE <br /> <br /> <br />~~~~ ~(r= <br />,~ ~ 9+14 <br /> <br />COMMmEE ADDIIESS &NO. AtD STIIIET) <br /> <br /> <br />è]¡ <br />NAME OF TREASURER ~ <br />~S. <br />PEIlMAllENT ADDIIESS Of tMAlUMR &NO. AtD STIlET) <br />~~ <br />crrv STATE ZIP CODE AlIA CCJOUtA YTNE PHONE <br /> <br /> <br />from <br /> <br /> <br /> <br />Date Stamp <br /> <br />R (íù R l'Ot ~v ,f :5... c:-\ 1. <br />l5 l!9 15 ¡ ïJ L~ ! ~ ì ' <br />î ì ¡. I Page --1 <br />JUl I b 1996 \1 U "'O";Q""'Oft~ <br /> <br />rlfy Of REDWOOD alY <br />~ --. -t R <br />er Committ es 0 nc u e In t IS tatement: LIst.ny ~r <br />commlttHs not Included In this consoIld.ted st.tement flyt are controlled by you arwlany <br />committees of which you Mile knowledøe flyt are primarily formed to receive contributlonJ <br />or to "..ke e.".nd1tures on beMH of your candld«y. <br />-- 1,.0.- <br /> <br /> <br />NAME Of TREASUREII CONTAOLLfD COMMmEE1 <br />0 YES 0 ND <br /> <br />through k <br />Date of election If 8pp1ka <br />(Month. Day, Year) <br /> <br />of3 <br /> <br /> <br /> <br /> <br />COMMITTEE ADOIIESS <br /> <br />&NO. AtD STIIIET) <br /> <br />an <br /> <br />STATE <br /> <br />AREA CODElDAYTUE PHONE <br /> <br />ZIP CODE <br /> <br />COMMrI'TIE NAME 1,.0. HUMIEII <br /> <br /> <br />NAME Of TllEAIUMI CONTROlLED COMMITTIE1 <br />DYES 0 ND <br /> <br />COMMrI'TIE ADDIESS <br /> <br />ING. AND STIIIET) <br /> <br />crrv <br /> <br />STATE <br /> <br />"REA CODEIDAYTUE PHONE <br /> <br />ZIP CODE <br /> <br />Att«h MIdIflon8llnformatlon on appr0pri8tely labeled continuation sheets. <br /> <br /> <br />An offkeholder or unclldate who controls a committee must also verify the campaign statement. I have used a/l reasonable diligence and to the best of my knowledge the treasurer has used a/l <br />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 <br />complete. I cart, Uj penalty of perjury un r the laws of the State of California th.t the foregoing is tr~rrect. ~ <br /> <br />Executed on '1 '/ ~ Q/~ At By :./..¿ - .i .../ <br />my AND S TE . SIGNATURE Of CANDIDA TElOffICEHOlUt------ <br /> <br />By <br /> <br /> <br />Executed on <br /> <br />At <br /> <br />CITY AND STATE <br /> <br />DATE <br /> <br />Executed on <br /> <br />At <br /> <br />DATE CRY AND STATE SIGN"TUII£ Of CANDID"TElOffICEHOlDEII <br />fOR INfORMATION REQUlllED TO IE PIIOVIDED TO YQU rullSUANT TO THE INfORMATION PRACTICES ACT Of 1'71. SEE If'!fORMA TION MANUAl ON CAMPAIGN DISCLOSURE PROVISIONS Of THE POlRlCAl REfORM ACT. <br /> <br />SIGNA TURE Of CANDIO" TElOfflCEHOlDER <br /> <br />By <br />