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Recipient Committee <br />Campaign Statement <br />Cover Page-- Part 2 <br /> <br />5. Officeholder or Candidate Controlled Committee <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE <br /> <br />Type or print in ink. <br /> <br />COVER PAGE-PART 2 <br /> <br />6. Ballot Measure Committee <br /> <br />Page c~ of <br /> <br />NAMEOFBALLOTMEASURE <br /> <br />OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) <br /> <br />RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP <br /> <br />Related Committees Not Included in this Statement: List any committees <br />not included in this stafement that are controlled by you or are primarily formed to receive <br />contributions or make expenditures on behaff of your candidacy. <br /> <br />COMMITTEE NAME I.D. NUMBER <br /> <br />NAME OF TREASURER CONTROLLED COMMITTEE? <br /> [] YES [] NO <br />COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) <br /> <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />COMMITrEE NAME I.D. NUMBER <br /> <br /> CONTROLLED COMMITI-EE? <br /> I [] YES [] NO <br /> STREET ADDRESS (NO RD. BOX) <br /> <br />NAME OF TREASURER <br />COMMITTEE ADDRESS <br /> <br />BALLOT NO. OR LE~FER JURISDICTION <br /> <br />[]SUPPORT <br />[]OPPOSE <br /> <br />Identify the controlling officeholder, candidate, or state measure proponent, if any. <br /> <br />NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT <br /> <br />OFFICE SOUGHT OR HELD <br /> <br />DISTRICT NO. IF ANY <br /> <br />7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for <br /> which this committee is primarily formed. <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE OEFICE SOUGHT OR HELD <br /> [~SUPPORT <br /> ~]OPPOSE <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> [~SUPPORT <br /> []OPPOSE <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT <br /> []OPPOSE <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [~]SUPPORT <br /> []OPPOSE <br /> <br />CITY STA3E ZIP CODE AREA CODE/PHONE <br /> <br />Attach continuation sheets J( necessary <br /> <br /> FPPC Form 460 (June/01) <br />FPPC Toll-Free Helpline: 8661ASK-FPPC <br /> State of Celifornla <br /> <br /> <br />