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HomeMy WebLinkAboutMINNICK 470 2/22/16Officeholder and Candidate Campaign Statement - Short Form pale or election Happlieable: (MmIR Day. Year) 7 1. Statement Covers Calendar Year 20 11 Amendment (Ewm'.re ) 2. Officeholder or Candidate Information 3• NAME OF OFFICEMOLOER O R CANDIDATE �,t Id i11•GrK Ll'clloel Mon r STREET PDIXtESS ') '-/ AREA CODEIDAYTIME PHONE NUMBER OPTION&- FAXIE MILAODRESS DaN I!. Crn 99 A•+ n p office sought or mein OFFICE SOUGHT OR HEED JURISDICTIONaIL PON) DISTRICT NUMBE +'o, R ;2 IIFPPPLICAs Uakcrsf +olr� Cf� �;). waRD 1/ 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. NUMBE NAME OF TREASURER S. Verification I declare under penally 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. Icertify under penalty of perjury the the laws of /thhe Sttate of California that the foregoing is true and coned. Eaeculed On P Ic� a r F,- 1�f40ry OW 16 BY "' ^�� slraaTUa of nEH�oEp aH DwDIDArE ogre FPPc Form 4701470 Supplarmnt (Jan/201(l) FPPc Advim: antic ilif e.ea.gov 7 (BM 3n2) www.fppC.Ca.gov