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0 <br /> 0 <br /> Recipient Committee <br /> Campaigr, Statement <br /> (Govemment Code Sections 84200-84216.5) <br /> SEE INSTRUCTIONS ON REVERSE <br /> Type or print in ink. <br /> Dale Stamp <br /> r� r � ��� <br /> � C;, � �J �� � <br /> �rsperiod Dateotelectionitapplica �e: <br /> D (Monih,Day,Year) ;, i ��� � � 2000 <br /> U <br /> /�U i,`.i�.�ii�'�?F:-i:`:tiJUl1 c'7Y <br /> 'I. T)/F1@ Of R@CIPI@flf COIl1fI11Yt@@: All Committees-Complete Parts t,2,3,and 7. <br /> � ORceholder, Candidate ❑ Primarily Formed Candidate/ <br /> Controlled Committee Officeholder Committee <br /> (Also Complete Parf 4.) (Also Complete Part 6.J <br /> ❑ Ballot Measure Committee ❑ General Purpose Committee <br /> Q Primarily Fortned Q Sponsored <br /> Q Controlled Q Broad Based <br /> Q Sponsored <br /> (a/so Comvlete Part 5.) <br /> � <br /> 3. Committee Information <br /> d 75 U <br /> _.........__......._ <br /> C�,�,m� �i�--�,e fo �1 P� �.�ha-;-a.- � ��rc,� <br /> STREETADORESS(NO P.0.80X) / <br /> / <br /> CITY STATE ZIPCODE <br /> �'-e��.Joo �. ��-�t�j � °�O� <br /> <br /> <br /> <br /> <br /> <br /> � <br /> AREA CODE/PHONE <br /> 2. Type of Statement: <br /> ❑ Pre-election Statement <br /> � Semi-annual Statement <br /> ❑ Termination Statement <br /> ❑ Amendment (Explain below) <br /> _�_ of� <br /> For�cial Use Only <br /> ❑ Quarterly Statement <br /> ❑ Special Odd-Year Report <br /> ❑ Supplemental Pre-election <br /> Statement-Attach Form 495 <br /> Treasurer(s) <br /> NAMEOFTREASURER l ) <br /> �' i c�ar� �N'o� l5%G�-cl�� �' <br /> MAILING ADDRESS <br /> <br /> CITY <br /> R����� ��� <br /> NAME OF ASSISTANT TREASURER,IF <br /> u?oo �c `', <br /> A%/E-MAIL ADDRESS <br /> e� ��� <br /> ��...^lo <br /> � <br /> STATE ZIPC( <br /> C � / <br /> HKtAI:VUt/YMUNt <br /> a (� ���� <br /> � <br /> FPPC Form 460(8199) <br /> For Technical Assistance: 9161322•5660 <br /> State of California <br /> ,�. <br />