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COVER PAGE-PART 2 <br /> Recipient Committee CALIFORNIA <br /> Campaign Statement FORM 460 <br /> Cover Page — Part 2 <br /> Page 2 of 7 <br /> 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee <br /> NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE <br /> Kelly Chastain <br /> OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION <br /> ❑ SUPPORT <br /> Council Member-District 2 0 OPPOSE <br /> RESIDENTIAL/BUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP <br /> Identify the controlling officeholder,candidate,or state measure proponent,if any. <br /> -- •- NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT <br /> Related Committees Not Included in this Statement: List any committees <br /> not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY <br /> contributions or make expenditures on behalf of your candidacy. <br /> COMMITTEE NAME I.D.NUMBER <br /> NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of <br /> officeholder(s)or candidate(s)for which this committee is primarily formed. <br /> ❑ YES ❑ NO <br /> COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> ❑ SUPPORT <br /> ❑ OPPOSE <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> ❑ SUPPORT <br /> ❑ OPPOSE <br /> COMMITTEE NAME I.D.NUMBER <br /> NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> ❑ SUPPORT <br /> ❑ OPPOSE <br /> NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD <br /> ❑ YES ❑ NO ❑ SUPPORT <br /> COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) ❑ OPPOSE <br /> CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets If necessary <br /> FPPC Form 460(Jan/2016) <br /> FPPC Advice:advice)fppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br />