| 
| I. | Type of Recipient Committee |  
|  | Officeholder, Candidate Controlled Committee |  
| II. | Type of Statement |  
|  | Pre-Election Statement - Amendment |  
| III. | Committee Information |  
|  | Committee Name : | Adrian Gomez For Assessor 2010  - 1325581 |  
|  | Committee Address : | 
 |  
|  | Mailing Address (if different) : | 
 |  
|  | FAX Number : |  |  
|  | E-Mail Address : |  |  
|  | Treasurer Name : | Adrian 
 Gomez |  
|  | 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 : | Adrian 
 Gomez |  
|  | Office Sought or Held (Include Location and District Number if Applicable) : | 
 Assessor |  
|  | Residential or Business Address and Phone Number : | 
 |  |