HomeMy WebLinkAbout470 04/15/2013 Officeholder and Candidate Campaign Statement - Short Form 2011 Gary A MillerOfficeholder 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)
N/A
1. Statement Covers Calendar Year 20 111
REIN/ E®
APR 15 2013
CITY CLERK
CITY OF SEAL BEI
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
GARY A. MILLER
STREET ADDRESS
211 8TH STREET
CITY STATE ZIPCODE
SEALBEACH CA 90740
AREA CODE /DAYTIME PHONE NUMBER OPTIONAL: FAX /E -MAIL ADDRESS
562 - 431 -2527
562 - 493 -9857 FAX
CITY COUNCIL
(LO(;ATION)
SEALBEACH
SHORTFORM
(I F 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
l,m
N/A
5. Verification
COMMITTEE ADDRESS
I declare under penalty Of perjury that to the best of my knowledge I anticipate that I will
FPPC Form 470 (June /01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC