HomeMy WebLinkAboutForm 470 Roberta Fonzi 073113Officeholder and Candidate NUZC C11 — SHORT FORM
Campaign Statement — Type or print in ink. Date 9aft I V iz
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Short Form
(Govemment Code Section 84206) Date of election if applicable- Arnendment (Explain Below) 20 or official Use Orliy
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or C "Clo"ile
(Month, Day, Year) CrTy CLQ
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OF
1. Statement Covers Calendar Year 2013L.
2. Officeholder or Candidate Information 3. ce Sought or e
OFFICE SOUGHT OR HELD
DISTRICT NtJMB
(IFAPPLICABLE)
4. Committee Information
List a// 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 1.0, NUMBER
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 perjur,nder the laws of the State of California
that the foregoing is true and correct.
Executed on '511 A 0 / ; By
DATE DER OR CANDIDATE U.
FPPC form 4701470 Supplement (January/08)
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