HomeMy WebLinkAboutForm 470 Bourbeau 063019Officeholder and Candidate
Campaign Statement -
Short Form
Date of election it applicable:
_ rear) Amendment jFxplain Q
(Monthday eluwi
1. Statement Covers Calendar year 20 _.._1..._ .
RECEIVED
c z 1019 I For Official use Only
`Ty OF ATASCADERO
1TY CLERK'S OFFICE
2. Officeholder or Candidate Information 3. Office Sought or Held
NN�AoF ICEHOIDEROREANDIDATE
RM
..'PTI' SIF r;()r.:_
C- ".7
11R4SGiCTIC>W
UI51KPI l NUMC
tG f rdAlt -'0 EEjj (€F APPLICABLE)
4. Committee Information
List all committees of which you Piave knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy.
COMMITTEE NAME AND 1.0 NUMBER C" )MMIJT'F.E ADDRESS NAME OF TREASI!RFR
/ r
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.
72
Executed on _ BY
AGNATURE OF uEFEaHULUEF or
Clear Form Print Form
FPPC Form 470/470 Supplement fJan12016)
FPPC Advice: advice@fppe.ca.gov (8661275-3772)
www.fppc.ca.gov