HomeMy WebLinkAboutForm 470 Sibbach 063021Officeholder and Candidate
Campaign Statement --
Short Form
Date otelection if applicable
(AMorim Day.Year)
1, Statement Covers Calendar Year 20 _t
Amendment SEI
2. Off icehoider or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Gere W sibbach
STREETAODRESS
CITY STATE LP CODE
Atascadero CA 93422
AREA CODEIDAYTIME PHONE NUMBER OPTIONAL FAX 1 E-MAIL ADDRESS
City Treasurer
of Atascadero
RECIEI�/ED
JUL 2021
ITY OF ATASCADERO
ITY CLERK'S OFFICE
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 10 NUMBER
n/a
5. Verification
COMMZTTLL ADDRESS
(IF APPLICABLE)
NAME OF TREASURER
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than S2.000 and that I yvflt spend less than $2,000 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 Califon Ythat the loregoiag is.irue and correct.
Executed on ! l V *'� By
PATE SIGMA OF 15IFFICEHONIR OR CANDOATE
FPPC Form 4701470 Supptement (Jan/2016)
FPPC Advice, advice@fppc.ca.gov (8661275-3772)
www fppc-ca-gov