Sworn Complaint Form: Lp. Elp3

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SWORNCOMPLAINTFORM

(rorm M.y Bdsnb&d b hbtic Dadd!E)*

A"sRIQUIRID BY GOVERNMENTCODE SECTION83t 15.pteaseconrplete Lhc


forft belowro fite a sworn.ohplaint wirh lhe F-!irpoliticalpEclic$ Conmis;on. Ihis
forn musl be conplctd in iis ebtirly .nd aI pertincntinfomrrio. must bc ltated
ooihisfo.m,not$ an rt achncnr.

Fair loltic.l Ptuctic6 Connbsiotr

sr.r{hsto, Crlifornia 953t4

Pdrop MakinqConbtrint

CiO sanoqo Starc.


Lp. Elp3
Telcphone:( 619 I

*IMporrf \r NorrcD
und.r .hec{litunb }nbricReordsaci (coy,codos.dion 6aj0addfo Nind. rxk sMrn

i9r632r.5.60or
ro ftear 366.as['.rpp(.,d,1t".,,.r,co.pr,,d
",
I conpbnlt
PeFo! or PBorswhoAllesedlrViolarcdthcl,otitic.t R.forn Acr (lfrherear
nlhiple t6nie. irrclvd. at&h .ddition6l pog6 6 idcsy.)

c.roCalliohiaC@sid Coml*bn, 45 Fr.ru gt. SdE 2000

Ciry: sanFr&cisco _._


7;pt 9a105 - ztg

Telcphone:(_) _-
Ia* (__) -

Pnririotr or tEvisiotr! of rhc Poltic.l Refom Act AllesedlyViolar.d: (lfspeitjc


sc onsde noLknosn.plclseprcvidcabdelsunmory oflhc norueofthcliolarion(9,
dd shcn il (thcy)occurcd.)Yo! n6l i{r. tbes$p..l.d viol.iio.G) o. tbarforD,
s4fotu 47100.67ffimiilcl 0rrdrstolaturr
DecrlDlion,Wlth ff MuchPurti.rhrity.r Po$iblc,of f{rs Conrrihrig All.ged
vlo|.'liotr tld ho* yor n r. pcMnrl Lroel.dss ttel h oaurnrl'.

r431E 9qlrlrlq s9q:!e!_99t1!!19!9!ylol9!r!!9!E


c!. 1!y9!]a'1'!
9!!!E s!
ss!!g9:.4!9. c6.r.r com,$,on nd1!!9]1 FrMry 2010.h. turEry .d@red rd

d'e aop@l ora coEdarDesr.l.nel psr{ ,or tE \odr Enba,cddeoca. pha.e i P.

o dtor o.&!* rh.rs sorr ;q,hd1@r9-!9.*i|l!ljos!re rcr!!!]E"l99c'

a.-!!!g!tr_gsd !.1:6!49q!9! !io!aJo.!@ lr4c. pl!!!g, be!!!!!.qlreeny


i.rheuccssorhr.brorhersbusin*EbMUe.h.
srhe.ndlordofsadbuEnes6

ParKtu'/idioG ,'. a naus ol DLar,c as his borhdr m*


'dd 's
?9!69M!_ _

**l'lcaseateh copicsoldy aluilabledoclncniatundrtisclidcnccolthcviolation.


(foi.x.npl.. chcks,campaignmareriali .rc.. ifrppliclble tu $c coDplai ). Not.rh.r
. .d3r.p.r !nl.L is lql onrid.rdr dd.ne of r riol{li,tr-

N{ne lnd Addrc$csofl'olcnti.l witnsscN,in lddift'n to yoursolftllKnown:

Ci1!:

zip:
l r l . p h o n e (_ _l _.
Cil"v:

Cit!:

zlP:

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I d(lare nndcrpenllq olprriurr underrhehss olrhc Sktc orCrtifor.i. rh!r rh

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'iLo'nsL\o
(Pl$ print your mhe)

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