HomeMy Public PortalAboutIris Pygatt - Form 460 - 10.22.09 - 2nd Preelection StatementRecipient Committee
Campaign Statement
Cover Page
(Goverment Code Sections 84200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Statement coves period
from (:� _a. 13
through
1. Type of Recipient Committee: All CommRtees— Complete Parts 1, 2.3. and 4.
(� Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee
Committee
Q Recall.
Q Controlled
(Also comp'eb Part s)
O Sponsored '
❑ General Purpose Committee -
(Also Compbta Part 6)
p Sponsored
❑ Primarily Formed Candidate/
Q Small Contributor Committee
, Officeholder Committee
0 Political Party/Central Committee
(Also compere Part 7)
3. Committee Information _
❑ Amendment (Explain below)
I.D. NUMBERI 211 .2 c
IS
�g
(IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
R E C E I VED COVER PAGE
06 2 2 2009
ate of election if applicable.
I I Y OF LYN WO E
(Month, Day, Year) CI
Y CLERKS 0FFI age of.
-
For Official Use I
P1 - 3 vd9
2. Type of Statement:
9 Preelection Statement
❑ 'Quarterly Statement
❑ Semi - annual Statement
❑ Special Odd -Year Report
❑ Termination Statement
❑ Supplemental Preelection -
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
MAILING ADDRESS -
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: 'FAX / E -MAIL ADDRESS -
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best. otmy kno dge the inf ation tained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true avdcor act.
Ex
ecuted on By
Date / i f ure eaurero ev n react
ExeWed on ' �''- 0
B
Data y Si Wn of neol twldar. CaMitlete. Blab Measure PloeoaentorResoansiCle Ofi ®ref Sooneor
Executed on By
Deb - SieneMaof COnwlGneoamMker , CerdMeb; State Maewre Preporrent "
Executed On B ,
Deb - SlannaxearCaNVlkne016oelwltlar, CaMkab, State Meaeuro Pmpornnt
" - - FPPC Form 160 (Januaryl051
FPPC Toll -Free Halpline: S66/ASK -FPPC (8661275 -3772)
State of California
NAME OF ASSISTANT TREASURER, IF ANY - -
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