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
DARRELL PARK FOR SUPERVISOR 2016 		I.D. NUMBER
1380402
Election Date:
(Month/Day/Year)
06/07/2016
Statement Period
from 04/24/2016
to 05/21/2016
I. Type of Recipient Committee
Officeholder, Candidate Controlled Committee
II. Type of Statement
Pre-Election Statement - Amendment
III. Committee Information
Committee Name : DARRELL PARK FOR SUPERVISOR 2016  - 1380402
Committee Address :
Mailing Address (if different) :
FAX Number :  
E-Mail Address :  
Treasurer Name :   DAVID L.  GOULD
Treasurer Address and Phone Number :
Assistant Treasurer Name :   INGRID  ORELLANA
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 :   DARRELL  PARK
Office Sought or Held (Include Location and District Number if Applicable) : Other - County Supervisor  - C05
Residential or Business Address and Phone Number :