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460 Booker CC W1 (04-21-19 - 05-23-19)_R Termination
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Recipient Committee <br />Campaign Statement <br />Cover Page — Part 2 <br />COVER PAGE - PART 2 <br />CALIFORNIA /� 6` 0 <br />FORM 'TLS <br />Page of <br />5. Officeholder or Candidate Controlled Committee <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />''C <br />,,OUGHT OR HELD {INCL <br />, 1A� C <br />RESP ENTIAUBUSINESSADDRESS <br />LOCATION AND DISTRICT NUMBER I_ABFAPPLICABLEE) <br />1 <br />) CIT STATE ZIP <br />\P—XN C•= <br />Related Committees Not Included in this Statement: List any committees <br />not included in this statement that are controlled by you or are primarily formed to receive <br />contributions or make expenditures on behalf of your candidacy. <br />COMMITTEE NAME <br />I.D. NUMBER <br />NAME OF TREASURER <br />CONTROLLED COMMITTEE? <br />0 YES ❑ NO <br />COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />COMMITTEE NAME <br />[.D. NUMBER <br />NAME. OF TREASURER <br />CONTROLLED COMMITTEE? <br />❑ YES 0 NO <br />COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />6. Primarily Formed Ballot Measure Committee <br />NAME OF BALLOT MEASURE <br />BALLOT NO. OR LETTER <br />JURISDICTION <br />❑ SUPPORT <br />O OPPOSE <br />Identify the controlling officeholder, candidate, or state measure proponent, if any. <br />NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT <br />OFFICE SOUGHT OR HELD <br />DISTRICT NO. IF ANY <br />7. Primarily Formed Candidate/Officeholder Committee List names of <br />officeholder(s) or candidate(s) for which this committee is primarily formed. <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD <br />❑ SUPPORT <br />• OPPOSE <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD <br />0 SUPPORT <br />• OPPOSE <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD <br />❑ SUPPORT <br />❑ OPPOSE <br />NAME OF OFFICEHOLDER OR CANDIDATE <br />OFFICE SOUGHT OR HELD <br />0 SUPPORT <br />0 OPPOSE <br />Attach continuation sheets if necessary <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />
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