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COVER PAGE <br />u -u- o <br />J LL <br />U <br />a <br />E <br />m <br />14 <br />0 <br />co <br />O <br />m <br />a <br />For Official Use Only <br />Lid <br />w <br />0 <br />E.�.a <br />re <br />E <br />E <br />0W w <br />aon€0 <br />'a a `m <br />.fid) 0/off <br />li 0 <br />C1 <br />If ) <br />CV <br />O <br />2. Type of Statement: <br />a) <br />NU <br />E <br />t <br />m >7a) 0 <br />0 <br />•C <br />Cco co 0 <br />Ii <br />o <br />d <br />ac) E c 0 <br />d o C <br />aEi rd a) `r a <br />cnmoo W rn <br />" = CO <br />c . <br />O C.O co y <br />C a) E <br />'I' <br />0) <br />0C_ (c v C <br />€o °' c <br />a lC) I. <br />❑ ❑ ❑ 0 Q <br />on item 1 on the original filing. <br />09/23/2017 <br />L <br />O7 <br />0 <br />SEE INSTRUCTIONS ON REVERSE <br />1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. <br />2 <br />a <br />N <br />a) 4) <br />a) <br />m <br />a) <br />N <br />f0 .-' <br />CO O E <br />0 <br />v y^ €0a <br />a) <br />)i0oya-a <br />.co <br />EUcn E°8 <br />0.0 a04 <br />❑ 0 <br />a) <br />a <br />E <br />Ecu° <br />O <br />V E aa)) <br />a)0 a)E <br />p E <br />0 p E U <br />a) a0) E o m <br />as W o `o aci <br />a7 73 N C L <br />U 0 "' 0 N C d <br />0 U _a d 0 U m <br />c. Cl) 8 � cn vEli <br />) a. <br />0004 (9'000 <br />0 <br />m(0 <br />M N- <br />Z 0) <br />Ci <br />3. Committee Information <br />NAME OF TREASURER <br />COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTE <br />Pamela McVicar <br />Higgins for Council 2017 <br />MAILING ADDRESS <br />AREA CODE/PHONE <br />714-504-3415 <br />STREET ADDRESS (NO P.O. BOX) <br />2253 Hillside Ct <br />NAME OF ASSISTANT TREASURER, IF ANY <br />AREA CODE/PHONE <br />562-305-9444 <br />MAILING ADDRESS <br />w <br />z <br />O <br />a. <br />aO <br />a. <br />O <br />U <br />w <br />0 <br />0 <br />U <br />a. <br />N <br />w <br />U) <br />AREA CODE/PHONE <br />O C) `') O <br />N (3) m N <br />H Q O W <br />F V W N <br />MAILIN <br />U <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />OPTIONAL: FAX / E-MAIL ADDRESS <br /> <br />mhiggins! <br />4. Verification <br />ai <br />U <br />a <br />E <br />O <br />U <br />C <br />m <br />a) <br />2 <br />m <br />y <br />a) <br />0 <br />m <br />U <br />en <br />a) <br />U <br />com <br />a) <br />c <br />0 <br />C <br />m <br />c <br />a) <br />.c <br />c <br />C <br />O <br />U <br />C <br />0 <br />co <br />E <br />C <br />a) <br />a) <br />0) <br />N• <br />'U <br />-4“ _ <br />C <br />s <br />>,13 <br />E <br />O <br />N+'-. <br />m <br />L N <br />a) O) <br />r 0 <br />O O) <br />L a)) <br />C 42 <br />m d <br />E <br />ns <br />a) <br />(a )p <br />U) E <br />u, <br />0)10 <br />U <br />a) <br />r <br />C a) <br />c0 <br />C O <br />N P- <br />a!) <br />aa) <br />w N <br />ac) � O <br />...T. a, <br />' c <br />0a <br />C o <br />voi.Z` <br />c <br />a) <br />10 CB <br />>c <br />rC <br />U <br />Executed on <br />m <br />O <br />10/25/2017 <br />Executed on <br />Executed on <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />Executed on <br />o n <br />r41 M <br />of <br />N <br />O 40 <br />v '.0 <br />o <br />LL 00 <br />•a <br />a <br />LL 0. <br />@1 <br />U <br />a) <br />U <br />u <br />a <br />§' a <br />a` W <br />d <br />E" <br />0 <br />rn <br />m <br />O <br />0 <br />o44 <br />a; <br />U <br />0. <br />a <br />3 <br />3 <br />