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,.,.., .,,.,.n,q;ce h,~ld er,.. _._ ._Candidat,% Type or print in ink. COVER PAGE- LONG FORM <br /> <br /> and Controlled Committee Statement covers period Da: St?~pn r-~ ' ' <br /> CampaignStatement.--Long Form f,om ~E'/-, /~ /~'/~?-'~'T'~ ~ ~ ~.~ ~ ~ <br /> (Government Code Sections84200~84216.5) ,h,ough ~i-i"~)', i~:'c' t!r~ / '-7 <br />SE£1NSTRUCIIONSONREVERSE Dateofelection|fapplkable:li/ FEB 1 7 1999 i~ge <br /> Cl~eck one of the following boxes ,o indicate the type of statement being filed: {Month. Day. Year) ~L~ ' -- L~ <br /> Pre-election Statement <br /> Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.) ~./~>~W,_0~L~);9 CITY I <br /> ri SpeciaIOdd-Year Campaign Report ! ._ ,~ ! ~' <br /> l! Semi-annuaIStatement I~"/~'' ' ~ i '~ q ~ I~ *~ ..... I <br /> Ii/~' {g, ~'~ I I ~: 7'-- <br /> [] Termination Statement (Attach ~ completed Form a ~ S to this statement.) <br />Ii Officeholder. Candidate, and ControUed Committee II Other Committees Iot Included in this Statement: <br /> Included in this Statement committees not Included in this consofidated ~tatement chat are con{rolled by you and any <br /> NAME OF OFFICEHOLDER OR CANDIDATE committees of which you have knowledge that are primarily formed to receive contributlom <br /> /% / ~ ~ /\/ or to make exoenditures on behalf of your cand/dacy. <br /> couMmEE NAME I ,.O..UMRER <br /> OlcflCE SOUGHT OR HELD ONCLUDE LOCAIlON AND DISTRICT NUMIERE APPLICABLE) <br /> C:', ?::..; (.'0,:.,,,,:; / o ,: o (.?,. ' <br /> RESIDENTIAL OR IU~INESS ADDRESS (NO. AND STREET) ;" ~ NAME O~ TREASURER CONIROLLED COMMITIEEE <br /> /-:} '~ ,-'/-' ' _'" [],Es [] <br /> CITY SlAIE ZIP CODE AREA COD[/OAYTIIdE PHONE COMMITIEE ADDRESS {NO. AND SlREEI} <br /> <br /> COMMII-rEE NAME / I I.D. NUMIER CITY SLATE ZIP CODE ARA CODE/DA¥IIME PHONE <br /> <br /> I <br /> CITY STALE ZIP CODE AREA CODE/DAYTIME PHONE NAME OF TREASURER CON1nOttEO COMMITTEE1 <br /> <br /> NAME OF TREASURER j I COMMI1TEE ADDRESS (NO. AND STREET) · <br /> PERMANENT ADDRESS O~ TREASURER {NO. AND STREET) CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE <br /> CITY STATE ZiP CODE AREA CODE/DAYTIME PHONE <br /> <br />III VerifiCation <br /> I have used all reasonable diligence in preparing this statement. I ha~e Eeviewed th~ statement and to the I~t o! my knowledge the information contained herein and in the attached schedules is <br /> true and complete. I certify under i~nall~ of p~rjury under the laws o~the State of California that the foregoing is true and correct. '~"' ~ <br /> <br /> Executed on . ~/. ~.-¢, At By <br /> ,./ DATE CITY AND STALE / / .( SIGNATURE OF T~E~i, SURER <br /> An officeholder m candidate who controls a committee must also verify the campaign statement. I have used all reasonable diligence and to the best of my knowledge the treasurer has used all <br /> reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the info;matron contained herein and in the attached schedules is true and <br /> complete.Executed onl certify/:~junder:~._/(7 qpenalty of perjurYAt under the,;~ ~,c~C4~laws of the Statec/-~-~ .Df California(.½t thatcT.~,~the~u0~ ~ foregoing, is trueBy and correct. "~--=:-~ /~.~/ ~~'~ ./'~__~/~{~.'"~~ <br /> / DAIE : CITY AND SLATE '/ SIGNATURE or CANDIDATE/OFFICEHOLDER <br /> <br /> Executed on At By <br /> DATE CITy AND STATE SIGNATURE OF CANDIDAIF/OEFICEHOLDER <br /> <br /> Executed on At By <br /> DAlE CITY AND S1AIF SlGNAIUR[ OF CANDIDAIEIOFFICEHOLDER <br /> <br /> FOR INFORMAIlO~I REQUIREP ED IE PROVIDED TO YOU PURSUAN! rD THE INFORMATION PRACTICES ACT OF I~1F7. SEE INFORMATION MAN~JAE ON CAMPAIGN DISCEOSUR[ PROVISIONS O~ IHT POEITICA~ REFORM ACT <br /> <br /> <br />