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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 />6. Ballot Measure Committee <br /> <br />NAME OF BALLOT MEASURE <br /> <br />COVER PAGE - PART 2 <br /> <br />OFFICE SOUGHT OR HELD (iNCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) <br /> <br />RESIDENT~AI-/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 statemenf that are controlled by you or are primarily formed to receive <br />contributions or make expenditures on behalf of your candidacy. <br /> <br />COMMI~-I~E NAME I.D. NUMBER <br /> <br />NAME OF TREASURER CONTROLLED COMMITTEE? <br /> <br /> [] YES [] NO <br />COMMR-rEE ADDRESS STREET ADDRESS (NO P.O. BOX) <br /> <br />CITY STATE ZIP CODB AREA CODE/PHONE <br />COMMITTEE NAME I.D. NUMBER <br /> <br />NAME OF TREASURER <br />COMMIT'rEE ADD~ESS <br /> <br /> CONTROLLED COMMI~EE? <br /> <br /> [] YES [] NO <br /> <br />STREETADDRESS (NO P.O. BO) <br /> <br />BALLOT NO. OR LETFER <br /> <br />JURISDICTION ~r~OPPosESUPPORT <br /> <br />Identify the controlling officeholder, candidate, or state measure proponent, if any. <br />NAME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT <br /> <br />OFFICE SOUGHT OR HELD DtSTRtCT NO. IF ANY <br /> <br />7. Primarily Formed Committee List names of o~ceholder(s) or candidate(s) for <br /> which this committee is primar#y formed. <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> [] SUPPORT <br /> [] OPPOSE <br /> <br />NAME QF 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 OFF~CE SOUGHT OR HELD [] SUPPORT <br /> [] OPPOSE <br /> <br />CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br />Attach continuation sheets if necessary <br /> <br /> FPPC Form 460 (June./01) <br />FPPC Toll-Free Helpllne: 866/ASK-FPPC <br /> State of Calitorn{e <br /> <br /> <br />