HomeMy WebLinkAboutBLANTON 470 09/16/16Officeholder and Candidate
Campaign Statement -
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1. Statement Coven Calendar Year 20 4_ .
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2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLOERO�R/f WDATE I OFRCf SOUGHTORHEIO
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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.
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 cedify under penalty of perjury under the laws of the State of California that the foregoing is true and coned.
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FPPC Form 6101470 supplement (J6MJ016)
FPPC AMlce: a dvice1ippc...QW (666r1163n2)
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