HomeMy WebLinkAboutForm 470 OMalley 073118Officeholder and Candidate
Campaign Statement -
Short Form
Date of election If applicable: I El Amendment (Explain Below)
(Month, Day, Year)
1. Statement Covers Calendar Year 20 18
JUL 2 6 201
CITY OF ATAS4
C{TY CLERICS
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Tom O'Malley Mayor
STREETADDRESS JURISDICTI
City of Atascadero
ZIP CODE
(IF APPLICABLE)
Atascadero CA 93422
AREA CODEIDAYTIME PHONE NUMBER OPTIONAL: FAX/ E- MAILADDRESS
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
NONE
5. Verification
COMMITTEE ADDRESS
NAME OF TREASURER
I declare under penalty of perjury that to the best of my knowledge I anticipate that l 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 §tate of California that the foregoing is trv� and correct.
Executed on
July 26, 2018
DATE
Clear For Print For
By
ORCANDIDATE
FPPC Form 4701470 Supplement (Jan12016)
FPPC Advice. advice @fppc.ca.gov (8661275 -3772)
www.fppc.ca.gov