Denise Timney Ranish Office 460COVER PAGE Recipient Committee
Campaign Statement
Cover Page
Type or print in ink. Date Stamp
(Government Code Sections 84200-84216.5)
Statement covers period
from .:Ja£1\. I) AP03
SEE INSTRUCTIONS ON REVERSE through ':J Ull\ 'f. e>O J 7J:>o.
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
0 Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
0 Recall
(Also Complete Part 5)
O General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
0 Ballot Measure Committee 0 Primarily Formed
0 Controlled
0 Sponsored
(Also Complete Part 6)
O Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
l.D. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) •
'De-rn 50 liM J'\€.11 f QV\lsh 6 ffi'ce op.
J !:fa.~(
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
Date of election if applicab
(Month, Day, Year)
2. Type of Statement:
0 Preelection Statement
0 Semi-annual Statement
0 Termination Statement
0 Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS
CITY
of ___ _
JUL-;; 1 2003
0 Quarterly Statement
0 Special Odd-Year Report
0 Supplemental Preelection
Statement -Attach Fonm 495
STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
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 attached schedules is true and complete.
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on Date
Executed on
Date
Executed on Date
Executed on Date
BY----------=--=--=---=--=------------------Signature of Treasurer or Assist~nt Treasurer
BY---,.,--..,.--.,.,,,...-,-....,,,..._,,,,,,.....,....,...,-....,,.._,,..,,..,-,,,..,....,.,..~-.,,...~-,--=~-,,.~.,,--=~~-,--?"-.~
BY------~--:-..,..,,.-.-~~~....,.,...:..;::- '---'---
BY------.,,,--..,..---..,,-,......,,,--,,=-.,--,.,.......,,,_.,..,....,,.....,,.,...,-,..,--..,,---,-------s;gnature of Controlling Otticeholder. Candidate, State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC