HomeMy WebLinkAboutForm 470 Sturtevant 073118Officeholder and Candidate
Campaign Statement -
Short Form
1. Statement Covers Calendar Year 20
Date of election if applicable:
(Month, Day, Year)
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2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
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3. Office Sought or Held
OFFICE SOUGHT OR HELD
DaIRECEIV
JUL 2 7
CITY OF
For Official Use
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 I COMMITTEE ADDRESS I NAME OF TREASURER
5.
Verification
declare under penalty of perjury that to the best of my knowledge 1 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.
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DATE SIGNATURE OF OFFICEHOLDER OR CANDIDATE
Clear For Print For
FPPC Form 4701470 Supplement (Jan/2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov