HomeMy WebLinkAboutForm 470 Sibbach 063022Officeholder and Candidate
Campaign Statement —
Short Form
1. Statement Covers Calendar Year 20 22
Date Stamp
RECEIVED
Date of election if applicable: ❑ Amendment (Explain Below)
(Month, Day, Year) ;; 2 j 2022
Nov 6, 2018 CITY OF ATASCADERC
CITY CLERK'S OFFICE
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Gere W Sibbach
STREETADDRESS
CITY STATE ZIP CODE
Atascadero CA 93422
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX I E-MAIL ADDRESS
City Treasurer
City of Atascadero
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
n/a
5. Verification
COMMITTEE ADDRESS
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less thar
all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of &
07/28/2022
Executed on
DATE
By
For Official Use
(IF APPLICABLE)
NAME OF TREASURER
OF OFFICEHOLDER OR CANDIDATE
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov