HomeMy WebLinkAbout470 07/11/2005 Officeholder and Candidate Campaign Statement Short Form 2005 Ray M. YbabenOfficeholder and Candidate
Campaign Statement —
Short Form
(Government Code Section 84206)
Type or print in ink.
Date of election if applicable: I Amendment (Explain Below)
(Month, Day, Year)
1. Statement Covers Calendar Year 20 05
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
RAY M. YBABEN CITY COUNCIL MEMBER
STREETADDRESS
4373 HAZELNUT AVENUE
CITY
STATE ZIP CODE
CA 90740
AREA CODE/DAYTIME PHONE NUMBER
OPTIONAL: FAX /E- MAILADORESS
(562) 598 -3235
JURISDICTION (LOCATION)
CITY OF SEAL BEACH
s( b
APPLICABLE)
FOUR
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
N/A
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 u
V FPPC Form 470/470 Supplement (January/05)
FPPC Toll -Free Helpline: 866IASK -FPPC (866/275 -3772)