HomeMy WebLinkAbout470 04/15/2013 Officeholder and Candidate Campaign Statement - Short Form 2012 Ellery A DeatonOfficeholder and Candidate
Campaign Statement —
Short Form
(Government Code Section 84206)
Type or print in ink.
Date of election if applicable:
(Month, Day, Year)
N/A
1. Statement Covers Calendar Year 2012
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
ELLERY A. DEATON
STREETADDRESS
211 8TH STREET
CITY STATE ZIPCODE
SEALBEACH
AREA CODE /DAYTIME PHONE NUMBER
562 - 431 -2527
CA 90740
❑ Amendment (Explain Below)
OPTIONAL: FAX /E -MAIL ADDRESS
APR 15 2013
CITY CLERK
CITY OF SEAL SEE
3. Office Sought or Held
OFFICE SOUGHT OR HELD
CITY COUNCIL
For Official Use
JURISDICTION (LOCATION) DISTRICT NUMBER
(IFAPPLICABLE)
SEAL BEACH I ONE
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 . NUMBER
am
N/A
5. Verification
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 under penalty of perjury under the laws of the State of California
that the foregoing is true and correct.
Executed on `� 113 By
DATE / S I G NATURE OF OFFICEHOLDER OR CAN DI DATE
FPPC Form 470/470 Supplement(January /08)
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