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Government Cotle
SeMlons
Recipient
V C F
Type
or
OVER PAGE
e
print in Ink
o l
LLTPr
Pit 12 39
Page
1
of
5 B421fi 842n0
Statement from
covers
perlotl
Oate of election ii
ZDD8 Dl D7
ei
nP
Only
through
All
2008 30 09
2
2006 06
Type
of Statement
Statement
Type
of
Recipient
Committee
templets commin
Primarily
Preelection
Committee
Quarterly
Statement
annual Semi Statement Termination Statement Also file a Fortn 410 Termination Amentlment
QControlletl Q Sponsored
peermryme Pertsl
Explain below
Cover
Paae
Tvpe Df Statement
Committee Information
COMMITTEE NAME
O I
NUMBER
970413
COMMITTEE
s Treasurer
NAME OF TREASURER
OR
S CANOmATE NAME IF NO
Kinde Durkee
MAILING ADDRESS
1212 S
STREET ADDRESS NO P 60 O CITY
Victory B
STATE ZIP CODE
1190
CITY
Sequoia
Glen
STATE
21P CODE
Burbank
AREA CODE PHONE
NAME OF ASSISTANT
CA
TREASURER
IF ANV
61502
Pomona
1212 S
LITY
CA
BI
STALE
91766
Victory
21P CODE
CITT
STATE
ZIP
LODE
Burbank
OPTIONAL
FA E ADDRESS MAIL
CA
91502
Verification
I have usatl all reasonable untler
tliligence in preparing
antl
penalty
of
perjury
on
foregoing
complete ICerlify
Exeatatl
2D08 08 10
D
aY
AS
Itt
Eaamatl
on
2D08 08 10
oam
Ry
Elliott Rothman
wamcammuna s4
er
a
mle
wsure
ERBCUfetl
on Cab
fiy sleneWnoreontltllly
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on CNa
BY
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IAamNer famlmmsbte Meewrepmponem FPPC Toll Free
Helpllne
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