HomeMy WebLinkAboutForm 470 Sibbach 082918Officeholder and Candidate Da�,•�CALIFORNIA A
Campaign Statement - - -FORM
—
Short Form Date of election if applicable: ® For Official Use Only
(Month: Day, Year) Amendment (Expia! Se.: v) AUG 2 9 201 Y
11 /06/2018I I CITY OF ATASI
CITY CLERK'S
1. Statement Covers Calendar Year 20 18 .
2. Officeholder or Candidate Information 3. Office Sought or Field
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Gere W Sibbach City Tteasurer
City of Atascadero
CITY STATE ZIP CODE
Atascadero CA 93422
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL FAX / E-MAIL ADDRESS
(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
N/A
S. 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 tat 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 St e Califo is that tt for o'ng s true and correct.
Executed on 8 ! g By )e
DATE SIGNATURE OF OFFICEHOLDER OR CANDIDATE
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FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov