HomeMy WebLinkAbout1993 Form 470 SHORT. FOR M
Officeholder and Candidate Type or Print In Ink Data Stamp Campaign Statement — Short Form (Government Code Section 84206) �L�- �n For use by officeholders and candidates who do not have a controlled committee and who do not anticipate receiving EC LE E V IE
$1000 or more in contributions and do not anticipate spending $1000 or more during the entire calendar year . D
Officeholders whose salary is less than $100 per month and judges who have a controlled committee may use this fo JAN 31 1994
under certain circumstances. See the appropriate Information Manual on Campaign Disclosure Provisions of the
Political Reform Act (Manual A) for further information.
Statement coven Calendar Year 19
1 Officeholder or Candidate Information 11 Information on Office Held or Sought
RAPE OF OFFICEHOLDER OR CANDIDATE, OFFICE HELD OR SOUGHT,
— 712 L., 5"t V� Co.. ✓e. 4F
RESIDENTIAL RESIDENTIAL OR BUSINESS HESS (NO. AND STREET) J RISDICRON(LOCATION) pSTRICT NUMBER (IF AI ICABLE)
�"1 \7b ��uN� Wttw. -•o-� CA, q c l'L. r--A-) o.f' —Te
CITY STATE nPCODE DATE OF ELECTION (MONTH. DAY. YEAR) (IF APR ICAIA E)
AREA CODEA)AYTIME RIONE NUMBER
III 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 ADD SS NAME OF TREASURER
IV Verification
[declare under penalty of perjury that lathe best of my knowledge, I anticipate that I will receive less than $1000 and that 1 will spend less than $1000 during the calendar year
and that I have used all reasonable diligence in preparing this statement. l certify under penalty of perjury under the laws of the State of California that the foregoing is true and
correct. II
Executed on 1�� AI e�CO C'ft`� By �.
DATE CITY AND SIAIE TURF OF OFFICEHOLDER OR CANDIDATE
FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977. SEE INFORMATION MANUAI ON CAMPAIGN DISCI OSORE PROVISIONS OF THE POI IIICAI RFFORMAT
State of California Fair Political Practices Commission.