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HomeMy WebLinkAboutDE LA TORRE 470 09/22/20Officeholder and Candidate Campaign Statement — Short Form Date of election if applicable:I ElAmendment (Explain Below) (Month, Day, Year) Date Stamp Official Use Only 1. Statement Covers Calendar Year 20 , 2. Officeholder or Candidate Information 3. Office Sought or Held NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Cn STREETADDRESS OPTIONAL: FAX/ E-MAIL ADDRESS JURISDICTION (LOCATION) DISTRICT NUMBER (IF APPLICABLE) 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 I.D. NUMBER 5. Verification COMMITTEE ADDRESS NAME OF TREASURER T7) 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 California that the foregoing is true qpd correct. <7 Executed on //�: By- DATE y DATE SIGNATURE OF OFFICEHOLDER OR CANDIDATE FPPC Form 470/470 Supplement (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Officeholder and Candidate Campaign Statement — Short Form I. Statement Covers Calendar Year 20 ,162 2. Officeholder or Candidate Information NAME OF OFFICEHOLDER OR CANDIDATE STREETADDRESS uttice bought or Held OFFICE SOUGHT OR HELD JURISDICTION (LOCATION) DISTRICT NUMBER (IFAPPLICABLE) SIAIE ZIP CODE OPTIONAL: FAX / E-MAILADDRESS 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 I.D. NUMBER COMMITTEE ADDRESS NAME OF TREASURER 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 California that the foregoing is true a d correct. Executed on By DATE SIGNATURE vn UWUIUATE FPPC. Form 470/470 Supplement (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/27.5-3772) www.fppc.ca.90v