HomeMy WebLinkAbout470 07/11/2008 Officeholder and Candidate Campaign Statement - Short Form 2007 Gary A MillerOfficeholder and Candidate
Campaign Statement —
Short Form
(Government Code Section 84206)
Type or print In Ink.
Data of election if applicable: I Amendment (Explain Below)
(Month, Day, Year)
1. Statement Covers Calendar Year 20 07
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
GARY A. MILLER
STREET ADDRESS
4632 GUAVA AVENUE
CITY
STATE ZIPCODE
SEAL
CA 90740
AREA CODE /DAYTIME PHONE NUMBER
OPTIONAL: FAX /E -MAIL ADDRESS
(562) 596 -9057
Uate Stamp
/ I V V�
3. Office Sought or Held
OFFICE SOUGHT OR HELD
SHORTFORM
CITY COUNCIL — -- — --
JURISDICTION (LOCATION) DISTRICT NUMBER
(IF APPLICABLE)
SEALBEACH 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 I COMMITTEE ADDRESS I NAME OF TREASURER
N/A
IMPTA
Verification
N/A
N/A
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less t n $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 un a penalty of perjury under he laws^oF a State of California
that the foregoing is true /a /f}d ccoor /reccc ,
Executedon �/ // / C/ o By
DATE
FPPC Form 4701470 Supplement (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)