HomeMy WebLinkAboutHARMON 470 4/28/16Officeholder and Candidate
Campaign Statement -
Short Form Dale pf election if applicable:
(Male Day. Yee,)
1. Statement Covers Calendar Year 20
11 Amendment (EaNaMOMM)
28 r;; s: e;
2. Officeholder or Candidate Information 3. Office Sought or Held
NAMEOFOFFIC O,o n ER0RcANmVATF OFF¢E SOVGNTO XftO
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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.
COMMITTEE NOME AND ID. NUMBER COMMnTEE ADDRESS
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 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 Califomia that the foregoing is true and correct.
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FPPC Form 470f470 Supplement (JeN 8116)
FPPC Advim: edvic0Qfp Ri.=.gov (866W"772)
crww.fppe.w.gov