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LONG FORM <br />Officeholder, Candidate, Type or Pant in Ink. S!_-t---=~.t covers ~.&~:&: Dale $lemp <br />and Controlled Committee <br />Campaign Statement -- Long Form <br /> <br />SEE INSTRUCTIONS ON REVERSE <br />Check one of the following hexel to Indicate the type of alatemenl being filed: Dill of Election <br />[~ Pre-elec~'~ Statement <br />[] S~pplementaJ Pre-elecik~ Slatemenl (Ailach a completed Form 495 to this sialeme~t.) <br />[~Semi*annual Slaten~nl <br />[] Termination Stalemenl (Atlach a completed From 4 ! 5 to Ihis statemenl.) <br /> <br />I Officeholder, Candidate, II Other Committees Not Included in this Statement: Lbto~yother <br />and Controlled Committee commutee~ not included in lhi~ co~oIMated statement that are controlled by you and any <br />Included in this Statement committees of wtdch you have Imowledge that are primarily formed to receive contributions or <br />wa~ ~ oa c~NOJ~Te: to mak~ expenditures on behaO~ of your candidacy. <br /> <br /> tootlers. ~ t~ al &~t~ , g.kO~loe O ct'~'y ~ ¢.4. <br /> <br /> Rc-OvvoaO city c~. <br /> <br /> ~ ~ ~ tataEC~ta~..~e~K ~. com~ottEOCC~nnee? <br /> <br /> It.~ ~ wee P city ¢ ~ 9 ~g~, ~ ~, Auach addJtionat inforrnation on appropriately Jabeled continuation s <br /> <br />IIJ Ve~ifl¢&tion Officeholder or Candidate: <br />Treaaure~: I have used all rcanonablc dlligcncc and Io thc best of m~ knowledge thc a*casurcr has <br />! havc used all reasonable diligence in preparing this slatcmcm and to thc best of my uscd all reasonable dillgcncc in prcparing this slatcmcnt. I have reviewed thc state- <br />knowledge thc information conlaincd hexcin and in thc auachcd schcdulcs is line and mcnt and to thc best of my Imowlcdgc thc infonnstion comaincd hcr <br /> lc. ! certify under penalty of pcrjury under thc laws of thc Slate of California attached schcdule~ is uue and complctc. I ccnify under penalty of pc,jury under thc <br />that tbe foregoing is tree and corr~t... ~ /7 laws of the Slate of.,~,..alifon~aia that thc jprcgo, i. Pg is linc and c.?r~cct. <br /> <br /> FOR iNFOR~,,~ ;EQOiRED TO BE ~VtD:~q~ r~ Ty~x~;:~AN] ~O TH£ ,NFORMATK3H pRACTiCES AC] OF ,9iL S~£ ,~MAT R CN~OIDATE THE FOI ,],CAL R£FORM ~C~ <br /> State el Calil~"rnla Fair Political Practices Commission. <br /> <br /> <br />