HomeMy WebLinkAboutMBAGWU 470 08/03/14Officeholder and Candidate
Campaign Statement —
Short Form
(Government Code Section 84206)
Type or print in ink.
Date of election if applicable:
(Month. Day. Year)
-2, O cl�
❑ Amendment (Explain Below)
Stamp
2014 AUG —4 AM 11 1 42
BAKERSF ELU �,i i Y 1It LWN
1. Statement Covers Calendar Year 201 .
r... p , ., -..w�
2. Officeholder or Candidate Information 3. Office Sought or Held
UFFIGE SUUUMT UK
JURISDICTION ( C<
For
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
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $1,000 and that I will spend _s9tl*a&
calendar year and that I have used all reasonable diligence in preparing this statement. I certify under p f perjury under the laws of the
that the foregoing is true and correct.
Executed on 9 � ` By
DATE SIGNATURE OF OFFICEHOLDER OR CANDI
1,000 during the
1�ftaof California
FPPC Form 4701470 Su lement (January/08)
FPPC Toll -Free Helpline: K -FPPC (8661275 -3772)