HomeMy WebLinkAboutForm 470 Sibbach 063019Officeholder and Candidate
Campaign Statement -
Short Form
1. Statement Covers Calendar Year 20
Date of election if applicable:
(Month, pay, Year)
11161201$
19
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
Gere W Sibbach
STREETADDRESS
El Amendment (EMplslrtaelow)
REL VVED
J 7 rl n For Otfidal Use Only
CETY STATE ZIP CODE
Atascadero CA 93422
AREA CODEIDAYTIME PHONE NUMBER OPTIONAL, FAX) E-MAIL ADDRESS
3. Office Sought or Held
OFFICE SOUGHT OR HELD
(IF APPLICABLE)
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 _ _ COWTTEE ADDRESS I NAME OF TREASURER
nla
5. Verification
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $2 ,000 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 theof California that a foregoing I true and correct.
. T '�G, J lid.
7/22/2019
Executed on
DATE
Clear Forma Print Form
By
OR CANDIDATE
FPPC Forth 4701470 Supplement (Jan12016)
FPPC Advice: advice@fppc.ca.gov 0661275-3772)
www.fppc.ca.gov