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HomeMy WebLinkAbout2020 Officeholder and Candidate fflForOMfficial Campaign Statement— Date Stamp Short Form ����Date of election if applicable: Use Only (Month,Day,Year) Amendment (Explain Below) SEP 2 3 2020 410v 3 20Z0 �CLOWsD'pr. 1. Statement Covers Calendar Year 20 2. Officeholder or Candidate Information 3. Office Sought or Held NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ��n y 3�/ke K' T4wt C-C vL C T c 0IJ�v� i L f�<-;i21<Z i �- STREETADDIRESS JURISDICTION(LOCATION) DISTRICT NUMBER (IFAPPLICABLE) 4fA I2S-42. /�ivtrcuL CITY STATE ZIP CODE 0,50- q'yS - 3/2 6 AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX/E-MAIL ADDRESS 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 COMMITTEE ADDRESS NAME OF TREASURER �114 */ 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 f Ding is true and correct. Executed on Sr r''T 2 2 2 0 2- O By DATE 9V --S§VfURE OF OFFICEHOLDER OR CANDIDATE FPPC Form 470/470 Supplement(Jan/2016) FPPC Advice: advice@fppc.ca.gov(8661275-3772) www.fppc.ca.gov