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Lewis E. Hurwitz 470Officeholder and Candidate Campaign Statement - Short Form (Government Code Section 84206) Type or print in Ink. Date of election if applicable: D Amendment (Explain Below) (Month, Day, Year) JUN 2 1 8 2000 1. Statement Covers Calendar Year 20 !lO__ . 2. Officeholder or Candidate Information NAME OF OFFICEHOLDER OR CANDIDATE Le:.Wl? e. Hu12wt-rz.. STREET ADDRESS ~; . CITY STATE ZIP CODE A t-b,f..),JE. T) A,, I GA 045ot-4Boo AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX I E-MAIL ADDRESS 3. Office Sought or Held OFFICE SOUGHT OR HELD 'f'rz.e~ su.12..ee JURISDICTION (LOCATION) C.1 'f'-f & A_i....ti.M€'DA (I? Lo) '82 t • :;ot \ . ( l? to) "8ll -io 81 I Le.1..1..H:A.e 1' acto e-l l · vie.-L 4. Committee Information DISTRICT NUMBER (IF APPLICABLE) Ust all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME ANO 1.0. NUMBER COMMITTEE ADDRESS NAME OF TREASURER 5. Verification . I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $1,000 and that I will spend less than $1,000 during the calendar year and that I have used all reasonable diligence in preparing this statement. I certi under penalt of perjury under the laws of the State of California that the foregoing Is true and correct. executec1on ___ J_U_N_2_6_20_0_0 ________ _ DATE Fonn 470/470 Supplement(12/99) For Technical Assistance: 916/322-5660 State of California