HomeMy WebLinkAbout1998 Form 470 !7 WWI
Officeholder and Candidate Type or print in ink. SHORT
Campaign Statement — Short Form Date Stamp
(Government Code Section 84206) R E C 1 D
For Official Use Only
For use by officeholders and candidates who do not have a controlled committee and who do not anticipate
receiving $1,000 or more in contributions and do not anticipate spending E1,000 or more during the All- P, g 19F calendar year. Officeholders whose salary is less than $100 per month and judges who have a controlled
committee may use this form under certain circumstances. See the Information Manual on Cam ai n
Disclosure Provisions of the Political Reform Act for Elected Officeho ers Can I ates an T elr Controlled Ci I Y
C ommittees or further In ormatlon. -
1 Statement Covers Calendar Year 19
11 Officeholder or Candidate Information III Information on Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
T �t I
i t- S' l_O�N
SIDENTIAL OR BUSINESS ADDRESS (NO. AND STREET) JURISDICTION (LOCATION) DISTRICT NUMBER
C (IF APPLICABLE)
3111. C Ar� a la
CITY STATE ZIP CODE DATE OF ELECTION (MONTH, DAY, YEAR) (IF APPLICABLE)
- �f — r rr"- �'/ \ ,,. Cg O Is%
AREA CODE /DAYTIME PHONE NUMBER
IV 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 ADDR
C9 M v�. llca Ai.0 4 \t C. �7 17 V 'Sbh� Vq+r+ P
g221Ss
C a-
V Verification
I declare under penalty of perjury that to the best of my knowledge, I anticipate that I will receive less than f 1,000 and that I will spend less than $1 000 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.
Executed on
-712-0 I q At e`r`�tc./ \�„_(o „ n. ` g 2
DATE CITY AND STATE GNATURE OF OFIICIHQLD(R OR CANDIDATE
FOR INFORMATION REQUIRE D TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTIC(S ACT OF 19)). SEE INFORMATION MANU N CAMPAIGN DISCLOSURE PROVISIONS OF THE POLRKAL REFORM Act
State of California Fair Political Practices Commisslon S