HomeMy WebLinkAbout470 08/04/2016 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 15/16
2. Officeholder or Candidate Information
El
° CCU T-�d�10
Amendment (Explain Below)
NAME OF OFFICEHOLDER OR CANDIDATE
David Sloan
STREETADDRESS
CITY
STATE ZIP CODE
Seal Beach
CA 90740
AREA CODEIDAYnME PHONE NUMBER
OPTIONAL: FAX E- MAILADDRESS
4. Committee Information
AUG 04 Z0I6
CITY CLERK
3. Office Sought or Held
OFFICE SOUGHT OR HELD
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
5. 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 penally of perjury under the laws of the Slate of California that the foregoing is true and correct.
Executed on Aty ul n 0 a &I
DATE
Clear Form Print Form
FPPC Form 4701470 Supplement (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (8661275 -3772)
www.fppc.ca.gov