HomeMy WebLinkAboutForm 470 Newsom 063022Officeholder and Candidate
Campaign Statement —
Short Form
Date of election if applicable:
(Month, Day, Year)
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1. Statement Covers Calendar Year 20 A -19- .
2. Officeholder or Candidate Information
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX IE -MAIL ADDRESS
Date Stamp
RECEIVED 0.
Amendment (Explain Below) For Official Use Only
AUG 012022
TY OF AT
3. Office Sought or Held
OFFICE SOUGHT OR HELD
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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
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5. Verification
COMMITTEE ADDRESS
(IF APPLICABLE)
NAME OF TREASURER
declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $2,000 and that I will 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 California that the foregoing is true and correct.
Executed on , By
DATE
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov