HomeMy WebLinkAboutSULLIVAN PREELEC04(2)
COVER A'.GE
Date Stamp
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page
(Govemment Code Sections 84200-84216.5)
Date of election if applicable
(Month, Day, Vear)
Statement covers period
from 10/01/2004
2:
Pi
0, OC'T 2?
~ ".1 ,_
Ef1K
Quarterly Statement
Special Odd-Vear Report
Supplemental Preelection
Statement - Attach Fonn 495
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Preelection Statement
Semi-annual Statement
Tennination Statement
Amendment (Explain below)
11/02/2004
2. Type of Statement:
IXJ
o
o
o
10/16/2004
1,2, 3. and ..
o Ballot Measure Comm~
o Primarily Fonned
o Controlled
o Sponsored
(Also~Part6)
through
Type of Recipient Committee: All Committe.. - Com.I... .....
Ii[] Officeholder, Candidate Controlled Committee
o Slate Candidate Election Comm~
o Recall
(Also Co"",* Part 5)
SEE INSTRUCTIONS ON REVERSE
1.
Primarily Fonned Candidatel
Officeholder Commrttee
(/JJ!il:JConv.JIetePalt7)
o
o General Purpose Comm~
o Sponsored
o Small Contributor Committee
o Pol.leal ParlylCentral Comm~
Treasurer(s)
NAME OF TREASURER
Myriam Rivas-Laguardia
MAILING ADDRESS
AREA CODE/PHONE
ZIP CODE
STATE
STREET ADDRESS (NO P.O. BOX)
4.
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By
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Executed on
Executed on
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/A8K.FPPC
State of California
SignaIu'e ofConlrolling QfIicen::IIder, Cmidale, Stale MeaslXe p~
ignatue taleMea5U'8Proponent
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