Laserfiche WebLink
<br />Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br /> <br />Type or print in ink. <br /> <br /> <br />Fo' Official U'e Ooly <br /> <br />SEE INSTRUCTIONS ON REVERSE <br /> <br />Statement covers period <br />from '/'/';1- <br />. . <br /> <br />through ~Z <br /> <br />1. Type of Recipient Committee: All Committee. - Complete Part, 1, 2, 3, end 4. <br /> <br />DC! Officeholder, Candidate Controlled Committee 0 Ballot Measure Committee <br />a State Candidate Election Committee 0 Primarily Formed <br />a Recall a Controlled <br />'-__5) a Sponsored <br />(AJoo",,"--') <br /> <br />0 General Purpose Committee <br />a Sponsored <br />a Small Conbibulof Comm- <br />a Political PartylCentral Committee <br /> <br />2. Type of Statement: <br />0 Preelection Statement <br />IE Semi-annual Statement <br />0 Termination Statement <br />0 Amendment (Explain below) <br /> <br />0 Ouarterty Statement <br /> <br />0 Special Odd-Year Report <br /> <br />0 Supplemental Preeleclioo <br />Statement- Attach Form 495 <br /> <br />0 Primarily Formed Candidate! <br />Officeholder Committee <br />r- CcmpIo' "'" n <br /> <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br /> <br /> <br />Treasurer(s) <br />NAME OF TREASURER <br />?ihJlM£l 5. ~ <br />MAILING ADDRESS <br /> ~~ <br />CITY Æ STATE ZIP CODE AREA'CODE/PHONE <br />~ ¡z; tI# 9/aL ~~~ <br />NAME OF ASSISTANT TR ASURER, IF ANY <br /> <br />3, Committee Information <br /> <br />J)¡AilG ~-n 1fii?-~~L <br />STREET ADDRESS (NO PO, BOX) <br /> ~ ~- <br />9,D? A STATE ZIP CODE AREA CODE/PHONE <br />.~ ~~ ðIJ-- j/lt¥2. ~-, <br />MAILING ADDRESS (IF DIFFE NT) NO, AND STREET OR PO. BOX <br /> <br />MAILiNG ADDRESS <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP CODE <br /> <br />AREA CODE/PHONE <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP CODE <br /> <br />AREA CODE/PHONE <br /> <br />OPTIONAL, FAX / E-MAIL AODRESS <br /> <br />OPTIONAL, FAX / E,MAIL ADDRESS <br /> <br /> <br />tained herein and in the attached schedules is true and complete. I <br /> <br />,poo~ <br /> <br />E<ec,ted 00 <br /> <br />Dale <br /> <br />By <br /> <br />S"""~ofCoo_"",""""",,Ca"'.al.,SIaIe"'a~~propon'" <br /> <br />E'ewled 00 <br /> <br />- <br /> <br />By <br /> <br />S.OO""ofCoo""""",""""""Ca"'.'Ie,SlaleM.æ~p",p"".", FPPC Fo'm 460 (June/O') <br />FPPC ToII-F"e HelpII'e, 866/ASK-FPPC <br />Stete of C.llfomie <br />