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HomeMy WebLinkAboutMONROE 470 4/28/16Officeholder and Candidate Campaign Statement - Short Form UrteolelEL6DR eappnaable: ❑ Amendment IEapab BFUG) (MOnw.Dry.year) 1. Statement Covers Calendar Year 20 —10. pate s MP 2. Officeholder or Candidate Information 3. Office Sought or Held NAME OF OFFICEHOLDER OR CANDIDATE OFFICE FOUGHT OR HELD SCOTT MO�.JROs R'tOR NUMBER STREETPDDRESS JURISDICTION (LOG4TIW) DISTRICT ABLE) OFPPPLpPBLE) �AxE�SFI ��.o M 000ENAYTIMEF"ENUMEER OPTIONAL: FAX I EdWIPDDRESS 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. MMMnTFF NAME MO LD. NUMBER I COMMITTEE ADDRESS I NAME OF TREASURER X00 nJ E 5. Verification I dedare 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 carlify, under penalty of perjury under the laws of the State of Calfomia that the foregoing is true and correct. Executed On i1 1 2 , l.• PIS D(. C) I IO ME By SIp1ANE OF OFFl4EIKlLER qi CNNIMTE FPPC Form 61614M Supplement (JRrd016) FPPC AdVICE: (86&2153114) LPww.fppD.Gi -o Y