HomeMy WebLinkAboutForm 470 Gere Sibbach 063020Officeholder and Candidate
Campaign Statement —
Short Form
Date of election if applicable
(Month, Day, Year)
111&1a016
1. Statement Covers Calendar Year 20 20
Amendment Lxpl :; � ,i;,:,
2. Officeholder or Candidate Information 3, Office Sought or Meld
NAME OF OFFICEHOLDER OR CANDIDATE
STRFrTAC
Oate stamp
RECEIVED
For Official Use Only
JUL1 6 2020
CITY OF ATASCADE
CITY CLERK'S OFF'1
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
N) /y
5. Verification
COMMITTEE ADDRESS
declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $2,000 and th
all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the State of Cali
Executed on By
DATE
NAME OF TREASURER
II spend less than $2,000 during the calendar year and that I have used
that tthe fforsgoin is true and orrect,
C.� W
OF OFFI6EHOLDER OR CANDIDATE
FPPC Form 4701470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (6661275-3772)
www.fppc.ca.gov