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�fficeholder, Candidate, <br /> �.nd Controlled Committee <br /> Campaign Statement — Long Form <br /> (Government Code Sections 84200-84216.5) <br /> SEE INSTRUCTIONS ON REVERSE <br /> Type or print in Ink Statement covera period <br /> <<om 9/i5/99 <br /> through�D <br /> Cheek one of the following bo:eo to indfcete the type of statement befng ffled: Date ot eleetion if applieable: <br /> Pre-eledion Statement (Month,Day,Year) <br /> Supplemen�al Pre-eledion Statement(Attach a completed Form 495 to ihis statement.) <br /> � Special Odd-Year Campaign Report <br /> � Semi-annual Statement �� '�l. 5' <br /> � Termination Statement(Attach a completed Form 415 to this statement.) <br /> OR H/EL�D(INCLUDE IOCATION AND DISTRICT <br /> �96C �' <br /> BUSINE55 ADDRES (NO.A!i STREF <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> I.D.NUMBEP <br /> 94o7So <br /> -��aooR L';-� . c� 9�o G 1 �� <br /> _ _/Qie.�t� l�l�e�i�S�a.�Q.��e� <br /> PEFMANENiADD/RE�550FTREASURER �N/O� ANDSTREET) <br /> . .. <br /> CITV STATE ZIP CODE AREA CODE/DAYTIME PMONE <br /> �rdl�voo�l C�.:,74,,. er3- �r�n� 2 ��� <br /> � �� � � ��� �5 . <br /> OCT 2 1 1999 <br /> CITY OF RED�n�OOD CITY <br /> CIT,Ctr_rR!( <br /> PAGE� <br /> �of� <br /> or Otticial Use Only <br /> II Other Committees Not Included in this Statement: usre�Yorne. <br /> eommlttees not ineluded!n thls eonsolidated statement that aro control/ed by you and <br /> any eommittees o/whlch you have knowledge that are primarfty lormed to reeeJve <br /> contri6utiona or to make expendltures on behal/o/your candldaey. <br /> COMMITiEENAME I.D.NUMBER <br /> , ❑VES ❑NO <br /> COMMIiTEE ADDRE55 (NO.NNO STREET) <br /> CITV STATE ZIP CODE AREA CODE/DAVTIME PHONE <br /> NAME <br /> NAMEOFTREASURER CONTHOLIEDCOMMITTEE7 <br /> ❑VES ❑ NO <br /> COMMITTEE ADDRESS (NO.ANO STREET) <br /> CITV STATE ZIP CODE AREF CODE/DAVTIME PHONE <br /> Attach additional inlormallon on appropnafely labeled continuafion sheets. <br /> III Verification ` /J <br /> I have used all reasonable diligence in preparing ihis statement.I have reviewed ihe statement and to ihe best ot my kr76w�dge ihe information contained herein and in ihe attached schedules is true and <br /> complete. I certify under penalry of perjury un he laws of the State o/f CLali�foqmia that the foregoing is tme and corre�t. <br /> Executed on iv-ao- 9 9 qt V�7`� � gy�� I �-. <br /> D�ATE r CITVAN�TqTE SIGNATUREOFTP R <br /> An officeholder or candidate who controls a committee must also verity the campaign statement. I have used all reasonable diligence and to the best of my knowledge�he treasurer has used all <br /> reasonable diligence in preparing�his statement.I have reviewed the statement and to the best of my knowledge the informatlon contained herein and in the attached schedules is true and complete. I certify <br /> under penalty of perjury under thpe laws of the State of California that ihe foregoing is true and correct. , <br /> Exewted on.�� '�y��`� At� gy��')0�.0.� ��. <br /> DATE CITV AND$TAT 5 GNATURE OF CANDIDATE/OFFICEHOLOER <br /> Executed on At gy <br /> DATE q7V AND STATE SIGNFTURE OF CANDIDATE/OFFICEHOLDER <br /> Executed on At By <br /> DFTE CITV AND STATE SIGNATURE OF CANDIDATE/OFFICEMOLDER <br /> FOR INFORMATION REOUIRE�TO BE PROVIDED TO VOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 19]],SEE INFOFMATION MANl1AL O <br /> State of Calilornia Fair Political Preetices Commission <br />