HomeMy WebLinkAboutForm 470 Bob Kelley 073113Campaign Statement —
Short Form
(Government Code Section 84206)
Type or print in ink.
Date of election if applicable: Amendment (Explain Below)
(Month, Day, Year)
AUG 2 1 2013
CITY OF ATASC
CITY CLERIKS C
1. Statement Covers Calendar Year 20 __LL -
2. Officeholder or Candidate Information 3. Office Sought or Held
OPTIONAL:
For Official Use Only
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, NUM13EP 1 —1 COMM"EE ADDRESS I NAME OF TREASURER
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $1,000 and that I will spend less than $1,000 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 83 /-
DATE
OFFICEHOLDER OR CAND-VAT"F
FPPC Form 470470 Supplement (January/08)
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