HomeMy WebLinkAbout2020 Officeholder and Candidate
Campaign Statement— Date Stamp '
Short Form
Date of election if applicable: ElFor Official Use On
(Month,Day,Year) Amendment (Explain Below) N
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
M A-P_�_ GOLAC CITE( CUv CI L
STREETADDRESS JURISDICTION(LOCATION) DISTRICT NUMBER
` 9) H 1� PA U S A- S i R I N GS V F i v E Iv l 1,Q 14 L k l(IFAPPLICABLE) 1
CITY S
T� ME c U LA7
�A- a 2 59
WA CODE/DAYTIME PHONE NUMBER OPTIONAL. FAX/E-MAILADDRESS
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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
�1 ARK L�1L� 3`IIN 4GO Sit S41<6
IW'F_OMLI�, CA- 911;9
5. Verification
I declare under penalty of perjury that to the best of my knowledge 1 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 oregoing is tru and correct.
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DATE GNAT E OF 0 ICEHOLDER OR CANDIDATE
FPPC Form 4701470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov