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;�;�,°s�,�nt Commstte� <br /> Cainpaign Stateme�tit <br /> (Gova��ment Wde Sectiona Ba2�0A4216.5) <br /> SEE INSTFiUCilONS ON NEVERSE <br /> Type or print in ink. <br /> Sfatement crove pe�iod I DaM ol dsctlon H <br /> 6ra�n /� /% (Monlh,Day, <br /> i. Type nf Recipient Committee: a�co���.-c�P�se�v.�a�,�,a,.�a�. <br /> � Olficeholder, Candidate p Primariy Formed Candidate/ <br /> Controlled Committee Officeholder Committee <br /> (Abo Conp/efe Parf 4.) (Also Ctxnylele Part B.) <br /> ❑ Ballci Measure Committee ❑ General Purpose Committee <br /> Q Primarily Formed Q Sponsored <br /> �J Controlled Q Broad Based <br /> Q Sponsored <br /> �aso can�Were v�r e.� <br /> 3. Corr+mittee Information <br /> �,o►nmi�"e-e fo �l�e � �Ja-r�a,�pr����e <br /> STREEf AODRESS(NO P.O.BOIQ <br /> � <br /> 1���-� oo � c��� <br /> MAILINGADDRESS�IF DIFFERENT)NO.AND <br /> cm <br /> bPTIONAL: FAX/E-MAILADDRESS <br /> � <br /> �X <br /> STATE 21PCODE MEACODE�PtIONE <br /> o�e s�� <br /> � � � ll ��.'`� � <br /> JArd 3 1 2000 <br /> Qc gent,l'0,•,:'Ci� <br /> CI��•r.] f-RK <br /> 2. Type of Statement: <br /> ❑ Pre-election Statement <br /> �Semi-annual Statement <br /> ❑ Tertnination StatemeM <br /> ❑ Amendment (Explain below) <br /> Treasurer(s) <br /> COVERPAGE <br /> a�� <br /> � Quarterly Statement <br /> � Specfal Odd-Year Report <br /> ❑ Supplemental Pre-election <br /> Statement -Atlach Fortn 495 <br /> R i c��.r� Glo%ls�'�-�t�r <br /> MA0.1N[iAD0fiE53 /� <br /> <br /> CITV STATE ZPCODE AREACODEiPHONE <br /> ��-k-i . C �} 9��Yoa � <br /> � <br /> � FPPC Fonn 460(8199) <br /> For Taehnidl Assbtanee: 916f3Yt-5660 <br /> State of Califomia <br />