HomeMy WebLinkAboutForm 470 Charles Bourbeau 063020Officeholder and Candidate
Campaign Statement -
Short Form
Date of election if applicable:
(Month, Day, Year)
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i. Statement Covers Calendar Year 20 �_ .
2. Officeholder or Candidate Information
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CITY STATE C�� L / ZIP CODE
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Date Stamp
RECEIVED
11 Amendment (Explain Below)
JUL 2 8 2020
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3. Office Souaht or Held
Far Official Use Only
OFFICE SOUGHT OR HELD
JURISDICTIO OCATION} DISTRICT NUMBER
(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 COMMITTEE ADDRESS I _ _ NAME OF TREASURER
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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 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
Executed on By
ATE SIGNATURE OF OFFICEHOLDER OR CANDIDATE '
FPPC Form 4701470 Supplement (Jan/2016)
FPPC Advice: advice@fppe.ca.gov (8661275-3772)
www.fppc.ca.gov