HomeMy WebLinkAboutCOPE 07/01/01 - 09/30/01 AMEND ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
thro.gh
Date of election if applicable:
(Month, Day, Year)
Date Stamp
COVEF[ PAGE
1. Type of Recipient Committee: All Commiltees - Complete Parts 1, 2, 3, and 4.
[] Officeholder, Candidate Contmlled Committee
0 State Candidate Election Committee
O Recall
(Also Complete Pat15)
[] General Purpose Committee ~ Sponsored
O Small Contributor Committee
O Political Party/Central Committee
[] Ballott Measure Commdtee O Primarily Formed
O Controlled
O Sponsored
(A lSD C~mpl~te Pa~t 6)
[] Primarily Formed Candidate/
Officeholder Committee
3. Committee Information
2. Type of Statement:
[] Praelection Statement [] Quarterly Statement
[] Semi-annuaIStatement [] Special Odd-Year Report
[] Termination StHement [] Supplemental Praelection
Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S HAME IF NO COMMITTEE) NAM F TREASURER
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADORESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of~erju~, under the laws of the Stats of California that the foregoing is true and correct.
Ex.c.,.do. s,
Executed on Dy
Dale Signature Of Conlrolling Cfllcehotder, Candida/e. State Mea
By FPPC Form 460 (June/0t)
Executed on Dale Signalune ~ Cent rolling OIflceholde~, Cendidale, State Measure Prop(menl
FPPC Toll-Free Relpllne: 866/ASK-FPP¢
State of California