HomeMy WebLinkAbout470 07/11/2005 Officeholder and Candidtate Campaign Statement - Short Form 2005 Michael P LevittOfficeholder and Candidate
Campaign Statement —
Short Form
(Government Code Section 64206)
Type or print in ink.
Date Stamp
Date of election if applicable: I Amendment (Explain Below)
(Month. Day, Year)
1. Statement Covers Calendar Year 20 05
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
MICHAEL P. LEVITT
STREET ADDRESS
STATE ZIPCODE
AREA CODEIDAYTIME PHONE NUMBER OPTIONAL: FAX /E -MAIL ADDRESS
(562) 596 -1346
3. Office Sought or Held
OFFICE SOUGHT OR HELD
CITY COUNCIL MEMBER
JURISDICTION (LOCATION) DISTRICT NUMBER
(IF APPLICABLE)
CITY OF SEAL BEACH I 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
N/A
5. Verification
COMMITTEE ADDRESS
IPIG
N/A
NAME OF TREASURER
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 penalty of per' under the laws of the State of California
that the foregoing is true and correct.
Executed on �O 0 By
DATE SIGNATURE OF OFFICEHOLD 'o,,,,",
FPPC Form 4701470 Supplement (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)