HomeMy WebLinkAbout470 08/03/2016 Officeholder and Candidate Campaign Statement - Short Form 2015/16Officeholder and Candidate
Campaign Statement -
Short Form
Date of election if applicable:
(Month, Day, Year)
1. Statement Covers Calendar Year 20 /5—t
0 Amendment (Explain Below)
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CITY CLERK
CITY OF SEAT sEADH
2. Officeholder or Candidate Information 3. Office Sought or Held
OFFICEHOLDER
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4. Committee Information
List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy.
COMMITTEE NAME AND I.D. NUMBER
S. Verification
COMMITTEE ADDRESS
NAME OF TREASURER
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $2 ,000 and that I will spend less than $2,000 during the calendar year and that I have
used all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the to of California that th foregoing is true and correct.
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GATE SIGNATURE OF OFFICEHOLDER OR CANDIDATE
,Clear Form Print Form'
FPPC Form 4701470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (66612753772)
www.fppc.ca.gov