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!w(cover Percipient Committee Campaign StatementDate StampCALIFORNIACover Page Statement covers period SEE INSTRUCTIONS ON REVERSEthroughDate of election if applicable:January 1, 2018(Month, Day,

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WIV stands for 'Withholding Information Return' which is a form used by entities to report certain information regarding payments made to individuals or other entities that are subject to withholding.

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