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HomeMy WebLinkAbout470 09/09/2009 Officeholder and Candidate Campaign Statement - Short Form 2008 Gary A MillerOfficeholder and Candidate Campaign Statement — Short Form (Government Code Section 84206) Type or print in ink. Date of election if applicable: (Month, Day, Year) 1. Statement Covers Calendar Year 20 08 2. Officeholder or Candidate Information NAME OF OFFICEHOLDER OR CANDIDATE GARY A. MILLER STREETADDRESS CITY N/A ZIP CODE 6W93 7is.T7Ll ❑ Amendment (Explain Below) SEP 0 9 2009 AREA CODE /DAYTIME PHONE NUMBER OPTIONAL: FAX /E- MAILADDRESS ( 4. Committee Information ( CITY CLERK CITY OF SEAL BED 3. Office Sought or Held OFFICE SOUGHT OR HELD CITY COUNCIL JURISDICTION (LOCATION) DISTRICT NUMBER (IF APPLICABLE) SEALBEACH I FOUR 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 I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less FPPC Form 4701470 Supplement (January105) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)