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Recipient Committee <br />Campaign Statement <br />Cover Page <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />frorn-Sankalt \ 20\tt <br />through <br />1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. <br />2/Officeholder, Candidate Controlled Committee <br />O State Candidate Election Committee <br />O Recall <br />(Also Com** Pan 5) <br />❑ General Purpose Committee <br />O Sponsored <br />O Small Contributor Committee <br />O Political Party/Central Committee <br />3. Committee Information <br />❑ Primarily Formed Ballot Measure <br />Committee <br />O Controlled <br />O Sponsored <br />(Also Complete Pan 8) <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />(Also Complete Part 7) <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Bake r `ctliC k\lt0 k e .c� Cs8, .t1.20‘C\ xd <br />Z\yeABl <br />ADORES$ (NO P.O. BOX) <br />CITY <br />STATE IP CODE AREA CODE/PHONE <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY •STATE ZIP AREA CODE/PHONE <br />Date of election if applicable: <br />(Month, Day, Year) <br />Svhe <br />‘4-‘ 62-0Vq <br />2. Type of Statement: <br />RE <br />JUL 0 2 2018 <br />City of R' <br />City <br />COVER PAGE <br />ALIFORNIA 460 <br />FORM <br />For Official Use Only <br />Ad' Preelection Statement <br />CErSemi-annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />❑ <br />Quarterly Statement <br />0 Special Odd -Year Report <br />Treasurer(s) k eY‘ R <br />iter <br />CITY <br />STA <br />AREA CODE/PHONE <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY <br />Zotcer V..evtr \30 <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />AREA CODE/PHONE <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k in the attached schedules is true and com lete. I <br />certify under penalty of perjury under the laws of the State of California that the foregoing is true and P <br />Executed on -% <br />`� <br />Date By <br />ignature of Treasurer or Assistant Treasurer <br />Executed on <br />Executed on <br />Executed on <br />Date <br />Date <br />(,g7 4 <br />Date <br />• Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor <br />BY <br />By <br />e Measure Proponent <br />e Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advicet0fooc.ca.aov 1866/275-37721 <br />