HomeMy WebLinkAboutCROTWELL 470 3/14/16Officeholder and Candidate
Campaign Statement -
Short Form Om of Necrion hf applicable:
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1. Statement Covers Calendar Year 20 ic.
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2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFMENOLDER OR EANOIOME OFFICE EOVONT OR HE,O
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STREET AOORES4 JUeSDICTpNa0GT10N) DISTRICTNOMBER
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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.
COMMnFEE NNOE 00 M NOMBER I COIWMEmE ADDRESS I NFa'£ OF TREA6ORER
S. 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 the calendar year and that I have
used all reasonable diligence in preparing this statement. I certfy under penalty of perjury under the laws of the State ,offCCalifornia that the foregoing is true and correct.
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FPPC Form 4901470 Supplement (Jan 12016)
FPPC Advice: advicesqMppc.ca.gov (66612163112)
www.fppcea.gov