HomeMy WebLinkAboutTATUM 470 3/8/16Officeholder and Candidate
Campaign Statement -
Short Form Daw 0 election 11 applicable:
(MDMh. DaY Year)
1. Statement Covers Calendar Year 20 /b .
❑ Amendment (E Pan wow)
2. Officeholder or Candidate Information 3.
NAME OF OFFICEHOLDER OR CANDIDATE
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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.
COMMnEE NAME AND 10. NUMBER COM 111M POOI m NAME OF TREASURER
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 tuning 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 tme and Correct.
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FPPC Form 4701470 Supplement (Jan/2016)
FPPC Advice: a dvi.@fppc.ca.g.v (6661275 -3772)
www.fpPaca.gov