HomeMy WebLinkAbout470 07/14/2004 Officeholder and Candidate Campaign Statement - Short Form 2004 Charles AntosOfficeholder and Candidate
Campaign Statement —
Short Form
(Government Code Section 84206)
Type or print in Ink
Date of election if applicable: ❑ Amendment (Explain Below)
(Month, Day, Year)
1. Statement Covers Calendar Year 20
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2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
(f- T *'V �� 'il-'e TT S
STREET ADDRESS
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CITY I
/E -MAIL ADDRESS
C I TY COUnUe/li
ILUGAI IUN)
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(IFAPPLICABLE) /
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
To GL�iC�
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ADDRESS
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NAME OF
5. Verification
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 perjury under the laws of the State of
California that the foregoing is true and correct.
Executed on ST Z o 0q �
DATE
By
SIGNATURE OF OFFICEHOLDER OR CANDIDATE
FPPC Form 450 (June /01)
FPPC Toll -Free Helpline: 666 /ASK -FPPC
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Ww'S 901%,
CITY HALL 2J I EIGHTH STREE,f
SEAL BEACH, C- ALIEORNIA 90740
(662)1431'252,7i • www.ciseal- *Nh.ca.us
M E M O R A N D U M
July 12, 2004
TO: Mayor and City Council
FROM: City Clerk
Forwarded is a copy of Form 470 to be used to file the off
year Semi - Annual Campaign Statement that for this year will
need to reflect the period July 1st, 2003 through June
30th, 2004.
Even though you do not have a committee the qualifier to
file this report is that the members of the Council receive
more than $200 per month compensation.
This Statement is due to be filed by Friday, July 30th,
2004 at 6:00 p.m.
Encl.