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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