HomeMy WebLinkAboutHANSON 502 00 CAMPAIGN BANK ACCOUNT
Campaign Bank Account .~ .,,.o., , ~
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Check One:
~[/~nitial
[] Amendment
[] Redesignate the Account for Future
Election to the Same Office
1. Candidate Information
FULl. NAME OF CANDIDATE (LAST~ FIRST, MIDDLE)
ADDRESS (N~. AND ~ I H[.E.I )
OFFICEISOUGHT AND AGENCYTNAME ~
STATE
2. Account Information
ZIP COOE
DAYTIME PHONE E-MAIL (OPTIONAL)
FAXNUMBER I YEAROF ELECTION
ADDRESS (NO, AND STREET) DAYTIME PHONE
STATE ZiP CODE
3. erificat,on
ACCOUNT NUMBER
DATE OPENED (Month/Day/Year)
I certify under penalty of perju~ under the laws of the State of California that the foregoing is true and correct.
FPPC Form 502 (8/99)
For Technical Assistance: 915/322-5660