HomeMy WebLinkAboutSALVAGGIO SEMIANN04(1)
COVER PAGE
Dale Slamp
or print In ink.
Type
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-64216.5)
-1-2-
Only
Page -J- of
For Official Use
l
,
Date of election if appli~I~.lf'~ _ '";
(Month. Day, Year); 4- !" -
Statemen_t covers period
from
Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement. Attach Form 495
o
o
o
Type of Statement:
o Pree~ction Statement
~Semi...annual Statemen1
13 Termination Statement
o Amendment (Explain below)
2.
through
1,2,3, and 4.
D Ballot Measure Committee
o Primarily Fanned
o Controlled
o Sponsored
(Also Complele Part 6)
Type of Recipient Committee: All Commi..... - Complete Parts
ltY" Officeholder, Candidate Controlled Committee
If 0 State Candidate Election Committee
o Recall
(Also CompIefe Part 5'
SEE INSTRUCTIONS ON REVERSE
1
Primarily Formed Candidate,
Officeholder Committee
(AJsoCompJelePart7)
o
o General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
Treasurer1s)
Committee
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Information
3.
MAILING ADDRESS
AREA CODE/PHONE
ZIP CODE
STATE
CITY
AREA CODE/PHONE
ZIP CODE
STATE
CITY
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SilJ1aIuedControlingOlliceholdllf,CalddlIte,St*MlHuePft:Jponllrt
ADDRESS
contained herein and in the attached schedules is true and complete.
E-MAIL
Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowtedge the infonnation
certify under penatty of perjUry u~r the laws of the State of California that the foregoil is true and COI
o Bt"
FAX
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