HomeMy WebLinkAboutNEMNICH 470 3/10/16Officeholder and Candidate
Campaign Statement -
Short Form oMe or election X anplmnle: ❑ Amendment FE lem Belo,)
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1. Statement Covers Calendar Year 20 .
16 MAR 10 PM 01
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2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICENOLOER OR CANDIDATE OFFICESOUGWORNELO
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JURISOICTON(LOCATION) DIBrRr ICTNUMBER
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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.
NAME AND Lo. NUMBER
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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 during tlx: 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 Calgomia that the foregoing is true and call
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FPPC Form 4101410 Supplement(JWa016)
FPPC Advil Rdvila@fppe.a.0ov (Offlit 5JT/2)
www.fppo- ra.gov