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HomeMy WebLinkAboutPINEO 470 4/28/17' Officeholder and Candidate Campaign Statement - Short Form Date of election N appnrable: ❑ Amendment (Exownaelw) (Morth, Day Year) 2011 APR 28 PM 12T 32 LL —/ � ( i.r:r�< cLenr. 1. Statement Covers Calendar Year 20 1-7 . 2. Officeholder or Candidate Information 3. Office Sought or Held NAMF OF OF I[ENOLO,,ERy^GNDIOAiF /� OFFICE FO Nr ORMELO l�Oel C'fN2U er e,Ie �� CitC �iZtEiGi� S1AEEfAWRE53 JURISDICTpNILOCAMxi) DISTRUrNUAWR 9yd0 krm Gt &,terse/ t� 93 ;r� &nb rsf'rel�f� GtI WvIifi°PE 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 NAME AND ID. NUMBER COMImEE ADDRESS NaME of TRHBURER Nofv� -- 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 VIII spend less than $2,000 duting the calendar year and that l have used all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the State of California that the foregoing is two and Domed. Pxemred on �S !�' l By care & rum CFofr. Rpicowr e CfeaF Farm PrintForm- FPPC Form suPPrmm(Jmamta) PPC Advice: Rdvicefid pl pc.u.aov (ae&pc.".g f) vFww.roPC.ea.aov