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: I El Amendment (Explain Below)
(Month, Day, Year)
1. Statement Covers Calendar Year 20 f I ,
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
MICH4EL V4-Ri l:}IOj
STREETADDRESS
OPTIONAL:
R ECW41WIN
AUG 04 2016
CITY CLERK
CITY OF SEAL BEACH
3. Office Sought or Held
OFFICE SOUGHT OR HELD
cc�'L^ C ; l Mj( VIA \`Q L'
se-.,,1 (3,
(IFAPPLICABLE) 3
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
5. Verification
COMMITTEE ADDRESS
NAME OF TREASURER
I declare under penally 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 State of California that the foregoing is true and correct.
Executed on V ` I c' T " By �
Clear Form Print Form
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov