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HomeMy WebLinkAbout470 04/15/2013 Officeholder and Candidate Campaign Statement - Short Form 2012 Michael P LevittOfficeholder and Candidate Campaign Statement — Short Form (Government Code Section 84206) Type or print in ink. Date of election if applicable: (Month, Day, Year) N/A 1. Statement Covers Calendar Year 20 12 2. Officeholder or Candidate Information NAME OF OFFICEHOLDER MICHAEL P. LEVITT ❑ Amendment (Explain Below) STREET ADDRESS 211 STH STREET CITY STATE ZIPCODE SEAL BEACH CA 90740 AREA CODE/DAYTIME PHONE NUMBER OPTIONAL 'FAX/ E-MAIL ADDRESS 562- 431 -2527 APR 15 2013 CITY CLM. CITY OF SEAL c;. 3. Office Sought or Held OFFICE SOUGHT OR HELD CITY COUNCIL JURISDICTION (LOCATION) F APPLICABLE) FIVE 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 N/A l-I 5. Verification N/A N/A NAME OF TREASURER Use I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $1,000 and that I will spend less than $1,000 during the calendar year and that I have used all reasonable diligence in preparing this statement. I certify under pe Ity f rju y under the of the State of California that the foregoing is true and correct. FPPC Form 4701470 Supplement(January /08) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)