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Slate Ma.ler Organ.-at' on <br /> Uampa. ftt <br /> , a e^s u v u3 .8-8421 <br /> SEE INSTRUCTIONS ON REVERSE <br /> ā‘ Amendment(explain): <br /> Sate Cf faflf)C f <br /> ,_ER ORGANIZATI:`t <br /> Offiial Non-Partisan Voter Guide of <br /> California <br /> ADDRESS <br /> NO AND STREET <br /> ( <br /> Type or Print in Ink <br /> Statement covers period <br /> from. 07/01/2014 <br /> 10/18/2014 <br /> RECEIVED <br /> OCT 2? 2014 <br /> OFFICE OF THE <br /> CITY CLERK <br /> Page 1 of 5 <br /> For Official Use Only <br /> through <br /> ( <br /> 3 _ his A _ x rnmift- <br /> _. <br /> If this Slate Mailer Organization is also a "general purpose committee" as defined in <br /> 1277947 Government Code Section 82027.5, check box and attach the committee's campaign <br /> disclosure report to this statement. <br /> Vona L. Copp <br /> ADDRESS NO-AND STREET <br /> LDCommittee Report ID Number if <br /> Attached Recipient Committee <br /> 1 TOTAL PAYMENTS RECEIVED ---Iā€”--.---- ..-----.. -.- ---- S <br /> (A) <br /> Total <br /> This Period <br /> 4,700.00 <br /> (B) <br /> Cumulative to Date <br /> (Since January 1 of <br /> calendar year covered) <br /> $ 4,700.00 <br /> Sch.A,Line 3 <br /> 2. TOTAL PAYMENTS MADE .--...... $ 4,ozB.ls $ 4 473.35 <br /> Sch-B,Line 3 <br /> IV Verification <br /> 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 <br /> 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 and correct. <br /> Executed on <br /> 10/19/2014 <br /> DATE <br /> Name of Responsible Officer Vona L. <br /> At <br /> TYPE OR PRINT <br /> CITY AND STATE <br /> By <br /> rIm1 <br /> FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977,SEE INFORMATION MANUA O AMPAI DI 3SURE PROVISIONS OF THE POLITICAL R FOR A T FOR <br /> FPPC Form 401 (January/05) <br /> FPPC Toll-Free Helpline: 8661ASK-FPPC(8661275-3772) <br /> www.netfile.com <br />