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Pete Valdez - 1985/07/01 - 1985/09/17 CAMPAIGN STATEMENT (Government Code Sections 84200-84217) /--<~;~ 4"c'" ~,~;\ L~'! ~ ^, .-;:'.\ OFW!'CI~ USE .""LV 'i ~-A .~ ~"\ I...,; s:-:: '':lb. ~p Form 490 1985 For use by candidates/officeholders and their controlled committees. \~) < \(.~ " .... <....<,~ ,~ ","", .f \r~ I CANDIDATE/OFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT ~, -.....-.. cJ( < RICT CITY PHONE NUMBER " CONTROLLED COMMITTEES* INCLUDED IN THIS CONSOLIDATED REPORT CITY G ADDRESS OF COMMITTEE: NO. AND STREET CITV STATe: ZIP CODe: AREA CODE PHONE NUMBIER NAME OF TREASURER: PERMANENT ADDRESS OF TREASURER: NO. AND STREET CITY STATE: ZIP CODE AREA CODE PHONE NUMBER Attach additional information on appropriatelv labeled continuation sheets. III CANDIDATE/OFFICEHOLDER ONLY: LIST ANY OTHER COMMITTEES NOT INCLUDED IN THIS CONSOLIDATED STATEMENT WHICH ARE CONTROLLED BY YOU OR ARE PRIMARILY FORMED TO RECEIVE CONTRIBUTIONS OR MAKE EXPENDITURES ON BEHALF OF YOUR CANDIDACY. COMMITTEE NAME AND 1.0. NUMBER COMMITTEE ADDRESS TREASURER I Controlled Committee? I YES I NO I ] I Artach additional information on approprlatelv labeled continuation sheets. . (A controlled committee is one which is controlled directlv or indirectlv bV a candidate or which acts iointlv with a candidate or controlled commirtee in connection with the making of exoenditurjJs. A candidate, controls a committee if the candidate, the candidate's agent, or any other committee he or she controis, has significant influence on the actions or decisions of the committee.) VERI FICATION I declare under penalty of perjury that to I have used all reas nable iligence in thei Executed on at by Executed on at by IOATEI I declare under penalty of perjury that to the best of my knowledqe this statement . d Its s treasurer(s) of this committee(s) has used all reasonable dilige ce in the preparation, of ~his Executed on Of -I?:~l-e r-- at (! bJ2 < For intormation required to be provided to you oursuant to he Intormation Practices Act Of 1977, see "Informa Ion Manual on Campaign Oisclosura Provisions ot the Polit!cal Reform Act," Part X. _1_ I V "~I_L.V\wI""" IVI" Vr '"'VI" I I'....,V. ......,....,., 1'\...- -...... -. --' . -. .-- '_ CA~JDIDATES, OFFICEHOLDERS AND MEASURES (Allocate expenditures from Schedules E & F made to" or on behalf of another candidate, officeholder or measure. Amounts may be rounaed off :0 whole dollars.) IND EXP* NAME OF CANDIDATE OR OFFICEHOLDER AND OFFICE OR MEASURE AND BALLOT NUMBER OR LETTER CHECK ONE Support I Oppose AMOUNT CUMULATIVE TO DATE o -0 - Attach additfonal information on appropriatelV labeled continuation sheets. Check box if "independent expenditure." (See Instructions below.) INSTRUCTIONS FOR PREPARING COVER PAGE CONSOLIDATED CAMPAIGN STATEMENT FORM 490 PERIOD COVERED BY STATEMENT: The period covered begins the day after the closing date of the last campaign statement filed. If no previous statement has been filed, the period begins on January 1 of the current calendar year. The period ends on the closing date for the current statement. The closing date is specified in the "I nformation Manual on Campaign Disclosure." DATE OF ELECTION: If this statement is filed in connection with an election held on a date other than June 4, or November 5. 1985. enter the date of the election. PART I: Provide the candidate's or officeholder's full name, residential address, business address and telephone numbers, and the office sought or held. PART II: Identify the controlled committees included in the consolidated report and the treasurers of the committees, Use the same information that appears on the committees' Statements of Organization filed with the Secretary of State. Do not use abbreviations. A permanent business or residential address must be provided for the treasurers. The identification numbers must be included. (If not yet received from the Secretaryof State's office, that fact must be noted.) PART III: The candidate or office holder must list all additional committees not included in this consolidated report which are controlled by the candidate or officeholder or are primarily formed to receive contributions or make expen- ditures on the candidate's behalf and whether or not they are controlled committees. VERIFICATION: The statement must be signed by each committee treasurer included in the consolidated report and by the candidate or officeholder who controls the committee. The treasurer and candidate or officeholder must review the information contained in the statement before signing the verification. ALLOCATION OF CONTRI.BUTIONS /,,!\ID EXPENDITURES MADE TO OR ON BEHALF OF OTHER CANDIDATES, OFFICEHOLDERS AND MEASURES: List all contributions (including loans) and independent expenditures itemized on Schedules E and F to support or oppose officeholders, candidates, and ballot measures (other than those controlling this committee or for which this committee is primarily formed). Also list in-kind contributions and independent expenditures which involve goods or services provided to or on behalf of a candidate or committee when a'-payment is not made (e.g., employee services, in-house printing, etc.). A description of the goods or services must also be provided. Indicate the date of the expenditure; if the expenditure is an independent expenditure (an expenditure not made at the behest of the candicate or committee on whose behalf it is made) check the box to so indicate; the office sought or held (or the measure's number or letter and the jurisdiction); the amount of the expenditure; and the cumulative amount to 'date. The "Cumulative to Date" column should include the total of expenditures for or against each candidate or measure since January 1 of the current caiendar year. (See "'nformation Manual on Campaign Disclosure" ':x discussion and examples of "cumulation.")