Dean C. Logan
 Registrar-Recorder/County Clerk

Department Headquarters
12400 Imperial Highway
Norwalk, California 90650

Los Angeles County Registrar-Recorder County Clerk
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Recipient Committee Campaign Statement Cover Page
(Government Code Sections 84200-84216.5) 		CALIFORNIA FORM
460
NAME OF FILER
Committee TO ELECT DR JAY SHAH AS L.A. County Supervisor 		I.D. NUMBER
1298002
Election Date:
(Month/Day/Year)
06/03/2008
Statement Period
from 07/01/2008
to 12/31/2008
I. Type of Recipient Committee
Officeholder, Candidate Controlled Committee
II. Type of Statement
Semi-Annual Statement
III. Committee Information
Committee Name : Committee TO ELECT DR JAY SHAH AS L.A. County Supervisor  - 1298002
Committee Address :
Mailing Address (if different) :
FAX Number :  
E-Mail Address :  
Treasurer Name :   Usha  J  Shah
Treasurer Address and Phone Number :
Assistant Treasurer Name :    
Assistant Treasurer Address and Phone Number :  
Treasurer FAX Number :  
Treasurer E-Mail Address : None

IV. Verification
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
 
Executed On :   By :  
Signature of Treasurer or Assistant Treasurer
Executed On :   By :  
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed On :   By :  
Signature of Controlling Officeholder, Candidate, State Measure Proponent

V. Officeholder, Candidate, and Controlled Committee
Name of Officeholder or Candidate :   Jayendra  A  Shah
Office Sought or Held (Include Location and District Number if Applicable) : Board of County Supervisors  - 04
Residential or Business Address and Phone Number :