HomeMy WebLinkAboutBUSTAMANTE PREELEC98(1) fficeholder and Candidate
Campaign Statement -- Short Form
(Government Code Section 84206)
Type or print in ink.
Date Stamp
For use by officeholders and candidates who do not have a controlled committee and who do not anticipate
receiving $1,000 or more in contributions and do not anticipate spending $1,000 or more during the
calendar year. Officeholders whose salary is less than $100 per month and judges who have a controlled
committee may use this form under certain circumstances. See the Information Manual on CamoaiQn
Disclosure Provisions of the Political Reform Act for Elected Officeholders. Candidates. and Their Controlled C0p~l 0.
Committees for further information. ;ILE
I Statement Covers Calendar Year lg q8
SHORT FORM
For Official Use Only.
Officeholder or Candid,~te Information
NAME OF OFFICEHOLDER OR CANDIDATE
S ROY RH,~mAM~NT]~
RESIDENTIAL OR BUSINESS ADDRESS (NO AND STREET)
5700 PANORAMA D9 RA[FRSFI~LD, CA q~06
CITY STATE ZIP CODE
III Information on Office Sought or Held
OFFICE SOUGHT OR HELD
coun(~J lm~n w~rd q
JURISDICTION (LOCATION)
DA~t~C~C]~ [~Dhl (1~O~1~ ?D~Y. YEAR)(IF APPLICABLE)
DISTRICT NUMBER
(IF APPLICABLE)
805 872 9385
AREA CODE/DAYTIME PHONE NUMBER
IV Committee Information
List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf o/your candidacy.
COMMITTEE NAME AND I.O~ NUMBER COMMITTEE ADDRESS NAME OF TREASURER
V Verification
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 less than $1,000 duri ng
the calendar year and that I have used all reasonable ddigence in preparing this statement. I certify under penalty of perjury under the laws of the State of
California that the foregoing is true and correct.
State of California Fair Political Practices Commission