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COVER Percipient Committee
Campaign Statement
Cover Page Date Stampede or print in ink. CALIFORNIA
FORM460(Government Code Sections 8420084216.5)
Statement covers periods INSTRUCTIONS ON REVERSE1.
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Anyone who is required to submit a legal document, such as a tax return or a court document, may be required to file under penalty of perjury.
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To fill out a document under penalty of perjury, the individual must sign a statement at the end of the document swearing that the information provided is true and accurate.
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