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ES Gite Recipient Committee AMENDMENT Campaign Statement Cover Page (Goverment Code Sections 84200-84216.5) ‘SEE INSTRUCTIONS ON REVERSE Statement covers period from Jofraj ao ‘through 19(41 fas ie. 1. Type of Recipient Committee: 1 commiioes - Complete Pars 1,2, 9, and & 2. Type of Statement: Dy Oftceholder, Candtate Conroled Commitioa Primarily Formed Ballot Measure Preelecton statement 1 Quarry staterent Stato Candidate Elecson Commitee ‘commits 1 Semi-annual statement ‘Special Year Report ‘OD Recalt Q Controiod Go Termination Statement 8 ‘Supplemental Preelection x Coma rats Q Sponsored {Also file 2 Form 410 Termination) ‘Statomont-Atach Form 495 1D General Purpose Commitise a 3 Amendment Expiain below) ° Primary Formed Canes! - oe 8 shel contbueccommuse O rence Conan Coptaten B Comolatus ~bfals © Political PartyiCentral Committee ara ey vol We ev 3. Committee Information i 13 3e 1 ‘Treasurer(s) 9-9) SORNITTEE HATE OR CAROEATES WAE F WO COUUATTEST TOE OTST Wl Soppoar chanzmonT sererks ES or nse L J: ictpslh fee WRONG TBDRESS w YOES Obie ibe ly SREETAOOREST WO FO BOT a SE BF CODE TREK CODEINE Yoosr cave Hilo. C hhte mort c DW CA oF ory L ‘STATE __2iP CODE "AREA CODE/PHONE AWE OF ASSISTANT TREASURER, IF ANY # pu a CS bit pT Wt B34 WISE Ma rteae TR ESS OPMENT ORG REET a pepo LIL Sela: RONG ADDRESS CLF va Sr a THE FOE TREX CODETIORE av SHE BF COE TREX COBEPRONE . C bAnemewT Ch 9IP! 0G fb-FS7 POR FT ERE PORES y ‘OPTOMA PINT EMAL ADDRESS ~/ 932, a taercinh L Pr 4. Verification {have used all reasonable ligence In preparing and reviwing ths statement and othe best of my knowledge thenformation contained herein andin the attached schedules is tue and compet certty Under penalty of perjury under the laws cf the State of Calforiathat the foregoing te and corect. esis Lxfpon cpitcilassl dg, cn tae ‘Sinatre Covering Oficshacer, Cancato, Sale Mean.re Proponent o Response Ofer of Saanaar |.) RR EE ST ———— Execs on. »y SoG OC Tas OAT 7 [FPPC Form 400 (i FPPC TolLFree Helpline: S6S/ASK-FPPC | »y y Contributions Received 1. Monetary Contributions Exporiditare Limit Summary for State Candidates 22. Cumolenvs txpantores mage” “uate ay ern Date ction TeatteDate ds. $ St ‘Ned nee 12+ 1314; na mirc Low 18 1 thle te etarmibaton statement, Line $8 must b6 zor. Cash Equivalents: and Outstanding Debts 18, CaBh EquVBIONS nennun, ‘Sendra carevase $e 19, Outstanding Debts... ‘MéLon 2 +e Dh Cotam Babove $e eee Wy Vee Recipient Committee a Campaign Statement Type oF print in ink. AUIFORNA 6 () Cover Page ORM (Government Code Sections 84200-84216.5) 3 SEE INSTRUCTIONS ON REVERSE ‘Statement covers period For Graal Use Ony Ca 014 1. Type of Recipient Committee: Au commitess = Complete Pars 1.2.3, and & 2. Type of Statement: C. Officeholder, Candidate Controlled Commitise Primarty Formed Ballot Measure” Preelection Statement EF Quarterly Statement Q State Conaateeeeson Commitee Commitee +] BB Semarnual statement C1 special Oaavear Report ; Roca Ccontoted 1 TerminaonSiaterint 1 Suppiemertat Pretecton Pocompnnrets Q Sponsored | (Aso fea For 410 Termination) Satement= Aloo For 495 General Purpose Commtee aoe C Amencient (Explain beiow) Q ‘Sponsored 1 Primary formes Cans! smal Contour Commitee Offceelier Corton O Poltica PatyCental Commitise contrat To OWEER 3. Committee information Treasures) . Le ()_ DOMMITTEETAE Gm CARRIOTES WANE TO COTTER iran aE 9 SUPPORT ChAtamenT Seeors ~~YE5 oN ex mnie SAE Aeene Oe. eh, Zh NO apy teow. EAL Chim Atve (HAL de. : 4 cy mv Sone a a $e RE TEM Cys Ww. nt 5. SE AOR OF OPFERE OHS RET TSE pea monary ESE TH a © bApem opr

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