HomeMy WebLinkAbout470 Officeholder and Candide Campaign Statement - Short Form - Michael Levitt 11/2/2010k
Officr+'older, and Candidate
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Campaign Statement —
Type or print In Ink.
Date Stamp
RECEIVED
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Short Form
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(Government Code Section 84206)
Date of election If applicable: Amendment (Explain Below)
(Month, Day, Year)
For Official Use Only
JUL 19 2010
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CITY CLERK
CITY OF SEAL BEACH
1. Statement Covers Calendar Year 20 10
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
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STREETADDRESS b
AREA CODEIDAYTIMEPHONE NUMBER OPTIONAL: FAX/E-MAIL ADDRESS
FORM
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
5. Verification
COMMITTEE ADDRESS
NAME OF TREASURER
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive
FPPC Form 4701470 Supplement (January/08)
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